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GEORGIA DERMATOLOGY &SKIN CANCER CENTER, PC
NPI 1447363346
Dermatology in Macon, GA

Active since August 16, 2006CLIA 11D0662541 · Microscopy
1157 FORSYTH ST, MACON, GA 31201(478) 328-1433(478) 922-7939 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgia Dermatology &skin Cancer Center, Pc NPPES

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

GEORGIA DERMATOLOGY &SKIN CANCER CENTER, PC (NPI 1447363346) is a healthcare organization registered as a dermatology in Macon, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Beverly B Sanders, Owner, as its authorized official.

NPPES Registry Identity

NPI1447363346
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGEORGIA DERMATOLOGY &SKIN CANCER CENTER, PC
Location Address1157 FORSYTH STMacon, GA 31201-7452
Mailing AddressPo Box 6898Macon, GA 31208-6898 · (478) 328-1433 · Fax (478) 922-7939
Phone(478) 328-1433
Fax(478) 922-7939
Organization SubpartNo
Authorized OfficialBeverly B SandersOwner · (478) 328-1433
Enumeration DateAugust 16, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1447363346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1157 FORSYTH ST, Macon, GA 31201
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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

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0662541

Georgia Dermatology & Skin Cancer Center, LLC · Macon, GA
Active · expires Aug 31, 2026
CLIA Number11D0662541
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMicheal J. Palko
Laboratory Phone(478) 750-7546
Laboratory LocationGeorgia Dermatology & Skin Cancer Center, LLC1157 Forsyth St, Macon, GA 31201
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

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

IN STITCHES PC
Specialist
1157 FORSYTH ST, SUITE 200
MACON, GA 31201
Bibb County (478) 743-4321
JAMES B LEKAS PAC
Physician Assistant
1157 FORSYTH ST
MACON, GA 31201
Bibb County (478) 745-8581
MYRTLE HUNTLEY SANDERS PAC
Physician Assistant
1157 FORSYTH ST
MACON, GA 31201
Bibb County (478) 745-8581
DEBORAH D MOORE PAC
Physician Assistant
1157 FORSYTH ST
MACON, GA 31201
Bibb County (478) 745-8581
MARK W BONNER MD
Dermatology
1157 FORSYTH ST
MACON, GA 31201
Bibb County (478) 745-8581
DR. LISA A FARMER MD
Specialist
1157 FORSYTH ST, SUITE 200
MACON, GA 31201
Bibb County (478) 743-4321

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 Georgia Dermatology &skin Cancer Center, PC's NPI number?

The NPI number for Georgia Dermatology &skin Cancer Center, PC is 1447363346. It was assigned to this organization in the NPPES registry on August 16, 2006.

Where is Georgia Dermatology &skin Cancer Center, PC located?

Georgia Dermatology &skin Cancer Center, PC is located at 1157 Forsyth St, Macon, GA 31201. The listed phone number is (478) 328-1433.

What is Georgia Dermatology &skin Cancer Center, PC's specialty?

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

Does Georgia Dermatology &skin Cancer Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0662541) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Georgia Dermatology &skin Cancer Center, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.