SOUTH GEORGIA DERMATOLOGY, PC
NPI 1770645228
Dermatology in Tifton, GA

Active since December 14, 2006
802 18TH ST E, TIFTON, GA 31794(229) 386-9333(229) 386-1666 Get Directions Write a Review

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

About South Georgia Dermatology, Pc NPPES

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

SOUTH GEORGIA DERMATOLOGY, PC (NPI 1770645228) is a healthcare organization registered as a dermatology in Tifton, Georgia and active in the NPI registry since December 2006. The organization lists Kristyn Elizabeth Renfroe, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1770645228
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTH GEORGIA DERMATOLOGY, PC
Location Address802 18TH ST ETifton, GA 31794-3661
Mailing Address802 18th St ETifton, GA 31794-3661 · (229) 386-9333 · Fax (229) 386-1666
Fax(229) 386-1666
Organization SubpartNo
Authorized OfficialKristyn Elizabeth RenfroePractice Manager · (229) 386-9333
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1770645228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in GA · 044059
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.
802 18TH ST E, Tifton, GA 31794

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

Other Providers at the Same Location NPPES

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

Physician Assistant
802 18TH ST E
TIFTON, GA 31794

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 South Georgia Dermatology, PC's NPI number?

The NPI number for South Georgia Dermatology, PC is 1770645228. It was assigned to this organization in the NPPES registry on December 14, 2006.

Where is South Georgia Dermatology, PC located?

South Georgia Dermatology, PC is located at 802 18th St E, Tifton, GA 31794. The listed phone number is (229) 386-9333.

What is South Georgia Dermatology, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for South Georgia Dermatology, 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.