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SOUTHERN DERMATOLOGY PC
NPI 1437437837
Dermatology in Lawrenceville, GA

Active since August 02, 2011
1805 HERRINGTON RD, BUILDING 3, SUITE A, LAWRENCEVILLE, GA 30043(770) 817-2592(678) 377-8167 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Dermatology Pc NPPES

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

SOUTHERN DERMATOLOGY PC (NPI 1437437837) is a healthcare organization registered as a dermatology in Lawrenceville, Georgia and active in the NPI registry since August 2011. The organization lists Winfred Derrick Moody, Owner, as its authorized official.

NPPES Registry Identity

NPI1437437837
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTHERN DERMATOLOGY PC
Location Address1805 HERRINGTON RD, BUILDING 3, SUITE ALawrenceville, GA 30043-7987
Mailing Address1805 Herrington Rd, Building 3, Suite ALawrenceville, GA 30043-7987 · (770) 817-2592 · Fax (678) 377-8167
Phone(770) 817-2592
Fax(678) 377-8167
Organization SubpartNo
Authorized OfficialWinfred Derrick MoodyOwner · (770) 817-2592
Enumeration DateAugust 2, 2011
Last NPPES UpdateSeptember 28, 2011
✔ NPI 1437437837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 045299
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.
1805 HERRINGTON RD, Lawrenceville, GA 30043
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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 from Magnolia Health, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GWINNETT PSYCHOLOGY, LLC
Psychologist
1805 HERRINGTON RD, BLDG. 2
LAWRENCEVILLE, GA 30043
Gwinnett County (507) 722-2402
RACHEL E. CHRISTIAN, PH.D., P.C.
Psychologist
1805 HERRINGTON RD, BLDG. 2
LAWRENCEVILLE, GA 30043
Gwinnett County (770) 962-1944
KRISNIR CORPORATION
Internal Medicine
1805 HERRINGTON RD, BLDG# 2
LAWRENCEVILLE, GA 30043
Gwinnett County (770) 822-4410
DR. JOSEPH HENRY FALLON JR. PH.D.
Psychologist (Group Psychotherapy)
1805 HERRINGTON RD, BLDG 2
LAWRENCEVILLE, GA 30043
Gwinnett County (770) 962-1944
DR. KELLE CHANDLER RAY PH.D.
Psychologist (Clinical)
1805 HERRINGTON RD, BUILDING 2
LAWRENCEVILLE, GA 30043
Gwinnett County (770) 962-1944
CASSIN COLE-STRAUB PSY.D.
Psychologist
1805 HERRINGTON RD, BLDG. 2
LAWRENCEVILLE, GA 30043
Gwinnett County (507) 722-2402
DR. RACHEL KELLI LACY PSY.D.
Clinical Neuropsychologist
1805 HERRINGTON RD, BUILDING 3, STE. 3-B
LAWRENCEVILLE, GA 30043
Gwinnett County (770) 722-7827
MARY E MELTON, PHD, PC
Psychologist (Clinical)
1805 HERRINGTON RD, #2
LAWRENCEVILLE, GA 30043
Gwinnett County (770) 962-1944

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 Southern Dermatology PC's NPI number?

The NPI number for Southern Dermatology PC is 1437437837. It was assigned to this organization in the NPPES registry on August 2, 2011.

Where is Southern Dermatology PC located?

Southern Dermatology PC is located at 1805 Herrington Rd Building 3, Suite A, Lawrenceville, GA 30043. The listed phone number is (770) 817-2592.

What is Southern Dermatology PC's specialty?

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

What insurance does Southern Dermatology PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Southern Dermatology PC 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 Southern Dermatology PC was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.