DERMATOLOGY ASSOCIATES OF NORHTEAST GEORGIA
NPI 1487735775
Specialist in Gainesville, GA

Active since October 17, 2006
974 S ENOTA DR NE, GAINESVILLE, GA 30501(770) 536-7546(675) 343-2006 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology Associates Of Norhteast Georgia NPPES

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

DERMATOLOGY ASSOCIATES OF NORHTEAST GEORGIA (NPI 1487735775) is a healthcare organization registered as a specialist in Gainesville, Georgia and active in the NPI registry since October 2006. The organization lists Lisa Bell, Manager, as its authorized official.

NPPES Registry Identity

NPI1487735775
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY ASSOCIATES OF NORHTEAST GEORGIA
Location Address974 S ENOTA DR NEGainesville, GA 30501-2429
Mailing Address974 S Enota Dr NeGainesville, GA 30501-2429 · (770) 536-7546 · Fax (675) 343-2006
Fax(675) 343-2006
Organization SubpartNo
Authorized OfficialLisa BellManager · (770) 536-7546
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 21, 2022
NPI 1487735775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
974 S ENOTA DR NE, Gainesville, GA 30501

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 MULTIPLE 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 of Compliance 11D1053206

Dermatology Associates Of North East Georgia · Gainesville, GA
Expired · Jul 31, 2026
CLIA Number11D1053206
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorDaniel C. Rabb
Laboratory Phone(770) 536-7546
Laboratory LocationDermatology Associates Of North East Georgia974 South Enota Drive North East, Gainesville, GA 30501
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

Dermatology
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Dermatology
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Physician Assistant (Medical)
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Nurse Practitioner
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Specialist
974 S ENOTA DR NE
GAINESVILLE, GA 30501
Nurse Practitioner (Family)
974 S ENOTA DR NE
GAINESVILLE, GA 30501

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 Associates Of Norhteast Georgia's NPI number?

The NPI number for Dermatology Associates Of Norhteast Georgia is 1487735775. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Dermatology Associates Of Norhteast Georgia located?

Dermatology Associates Of Norhteast Georgia is located at 974 S Enota Dr NE, Gainesville, GA 30501. The listed phone number is (770) 536-7546.

What is Dermatology Associates Of Norhteast Georgia's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dermatology Associates Of Norhteast Georgia was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.