PATRICK D RETTERBUSH MD LLC
NPI 1700357019
Dermatology in Athens, GA

Active since December 13, 2018
1500 OGLETHORPE AVE STE 300A, ATHENS, GA 30606(706) 614-1750(706) 480-4185 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2019, Dec 13, 2018 (2 updates tracked since 2018).

About Patrick D Retterbush Md Llc NPPES

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

PATRICK D RETTERBUSH MD LLC (NPI 1700357019) is a healthcare organization registered as a dermatology in Athens, Georgia and active in the NPI registry since December 2018. The organization lists Elizabeth Retterbush, Administrator, as its authorized official.

NPPES Registry Identity

NPI1700357019
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePATRICK D RETTERBUSH MD LLC
Location Address1500 OGLETHORPE AVE STE 300AAthens, GA 30606-2181
Mailing Address1500 Oglethorpe Ave Ste 300aAthens, GA 30606-2181 · (706) 614-1750
Fax(706) 480-4185
Organization SubpartNo
Authorized OfficialElizabeth RetterbushAdministrator · (706) 255-3702
Enumeration DateDecember 13, 2018
Last NPPES UpdateMay 28, 20192 updates tracked since enumeration
✔ NPI 1700357019 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.
1500 OGLETHORPE AVE STE 300A, Athens, GA 30606

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patrick D Retterbush Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Patrick D Retterbush MD LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dermatology
NPI 1760988513
1500 OGLETHORPE AVE STE 300A
Athens, GA 30606
(706) 614-1750
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1700176211
1500 OGLETHORPE AVE STE 300A
Athens, GA 30606
(706) 614-1750
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1033172382
728 COBB ST
Athens, GA 30606
(706) 548-3109
✔ PECOS1.7 mi
Dermatology
NPI 1881980738
112 WILSHIRE VILLAGE DR
Peachtree City, GA 30269
(770) 676-3376
✔ PECOS✔ Accepts Medicare77 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Patrick D Retterbush MD LLC's NPI number?

The NPI number for Patrick D Retterbush MD LLC is 1700357019. It was assigned to this organization in the NPPES registry on December 13, 2018.

Where is Patrick D Retterbush MD LLC located?

Patrick D Retterbush MD LLC is located at 1500 Oglethorpe Ave Ste 300A, Athens, GA 30606. The listed phone number is (706) 614-1750.

What is Patrick D Retterbush MD LLC's specialty?

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

Is Patrick D Retterbush MD LLC enrolled in Medicare?

Yes. Patrick D Retterbush MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patrick D Retterbush MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Patrick D Retterbush MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patrick D Retterbush MD LLC was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.