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DERMATOLOGY SPECIALISTS OF GEORGIA, LLC
NPI 1437298957
Dermatology in Athens, GA

Active since February 05, 2007CLIA 11D0261884 · Certificate of Compliance
658 N CHASE STREET UNIT 102, ATHENS, GA 30601(877) 231-3376(850) 522-8354 Get Directions Write a Review

NPPES record last updated: September 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2022, Jun 18, 2021 (2 updates tracked since 2021).

About Dermatology Specialists Of Georgia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY SPECIALISTS OF GEORGIA, LLC (NPI 1437298957) is a healthcare organization registered as a dermatology in Athens, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 31, 2027 and lists Jon R Ward, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1437298957
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY SPECIALISTS OF GEORGIA, LLC
Location Address658 N CHASE STREET UNIT 102Athens, GA 30601
Mailing Address2505 Harrison AvePanama City, FL 32405-4464 · (877) 231-3376 · Fax (850) 522-8354
Phone(877) 231-3376
Fax(850) 522-8354
Organization SubpartNo
Authorized OfficialJon R WardMd/owner · (850) 233-3376
Enumeration DateFebruary 5, 2007
Last NPPES UpdateSeptember 2, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1437298957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 18041
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
658 N CHASE STREET UNIT 102, Athens, GA 30601
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Other Identifiers 3

Other30926GA · Wellcare
Other10059273GA · Amerigroup
Medicaid000084961BGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 11D0261884

Dermatology Specialists Of Georgia LLC · Athens, GA
Active · expires May 31, 2027
CLIA Number11D0261884
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorJane Iluba
Laboratory Phone(850) 252-4401
Laboratory LocationDermatology Specialists Of Georgia LLC658 N Chase Street Suite 102, Athens, GA 30601
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Specialists Of Georgia, LLC's NPI number?

The NPI number for Dermatology Specialists Of Georgia, LLC is 1437298957. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Dermatology Specialists Of Georgia, LLC located?

Dermatology Specialists Of Georgia, LLC is located at 658 N Chase Street Unit 102, Athens, GA 30601. The listed phone number is (877) 231-3376.

What is Dermatology Specialists Of Georgia, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Dermatology Specialists Of Georgia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0261884) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Specialists Of Georgia, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dermatology Specialists Of Georgia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dermatology Specialists Of Georgia, LLC was last updated on September 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.