DERMATOLOGY ASSOCIATES OF TALLAHASSEE, PA
NPI 1730567504
Dermatology in Valdosta, GA

Active since May 13, 2015
4233 CAMELOT XING, VALDOSTA, GA 31602(229) 469-4383(229) 469-4584 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dermatology Associates Of Tallahassee, Pa NPPES

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

DERMATOLOGY ASSOCIATES OF TALLAHASSEE, PA (NPI 1730567504) is a healthcare organization registered as a dermatology in Valdosta, Georgia and active in the NPI registry since May 2015. The organization lists Stephen Richardson, Board Secretary, as its authorized official.

NPPES Registry Identity

NPI1730567504
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY ASSOCIATES OF TALLAHASSEE, PA
Location Address4233 CAMELOT XINGValdosta, GA 31602-6926
Mailing AddressPo Box 13834Tallahassee, FL 32317-3834 · (850) 205-6232 · Fax (850) 402-9130
Fax(229) 469-4584
Organization SubpartNo
Authorized OfficialStephen RichardsonBoard Secretary · (850) 877-4134
Enumeration DateMay 13, 2015
Last NPPES UpdateJuly 21, 2022
✔ NPI 1730567504 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.
4233 CAMELOT XING, Valdosta, GA 31602

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Associates Of Tallahassee, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Dermatology Associates Of Tallahassee, PA, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Dermatology
NPI 1427269885
1474 MARKET ST
Tallahassee, FL 32312
(850) 233-3376
✔ PECOS✔ Accepts Medicare61 mi
Dermatology
NPI 1578670055
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts Medicare62 mi
Dermatology
NPI 1790892339
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts Medicare62 mi
Dermatology
NPI 1003922592
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts Medicare62 mi
Pathology
NPI 1578626677
1708 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts Medicare62 mi
Pathology
NPI 1164492898
1708 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts Medicare62 mi
Dermatology
NPI 1467698159
1704 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts Medicare62 mi
Dermatology
NPI 1952530222
2401 OSLER CT
Albany, GA 31707
(229) 518-2700
✔ PECOS✔ Accepts Medicare72 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 Dermatology Associates Of Tallahassee, PA's NPI number?

The NPI number for Dermatology Associates Of Tallahassee, PA is 1730567504. It was assigned to this organization in the NPPES registry on May 13, 2015.

Where is Dermatology Associates Of Tallahassee, PA located?

Dermatology Associates Of Tallahassee, PA is located at 4233 Camelot Xing, Valdosta, GA 31602. The listed phone number is (229) 469-4383.

What is Dermatology Associates Of Tallahassee, PA's specialty?

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

Is Dermatology Associates Of Tallahassee, PA enrolled in Medicare?

Yes. Dermatology Associates Of Tallahassee, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Associates Of Tallahassee, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Associates Of Tallahassee, PA. 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. The largest specialties are Dermatology (6) and Pathology (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatology Associates Of Tallahassee, PA 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.