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GOODMAN DERMATOLOGY, PC
NPI 1770801144
Dermatology in Roswell, GA

Active since May 11, 2010
2500 HOSPITAL BLVD STE 280, ROSWELL, GA 30076(770) 754-0787(770) 755-5890 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 18, 2021, May 19, 2020 (2 updates tracked since 2020).

About Goodman Dermatology, Pc NPPES

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

GOODMAN DERMATOLOGY, PC (NPI 1770801144) is a healthcare organization registered as a dermatology in Roswell, Georgia and active in the NPI registry since May 2010. The organization maintains 4 additional practice locations and lists Marcus Goodman, Owner, as its authorized official.

NPPES Registry Identity

NPI1770801144
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGOODMAN DERMATOLOGY, PC
Location Address2500 HOSPITAL BLVD STE 280Roswell, GA 30076-4918
Mailing Address2500 Hospital Blvd Ste 280Roswell, GA 30076-4918 · (770) 754-0787 · Fax (770) 755-5890
Phone(770) 754-0787
Fax(770) 755-5890
Organization SubpartNo
Authorized OfficialMarcus GoodmanOwner · (770) 754-0787
Enumeration DateMay 11, 2010
Last NPPES UpdateMarch 24, 20222 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
✔ NPI 1770801144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 064221
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.
2500 HOSPITAL BLVD STE 280, Roswell, GA 30076
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Secondary Practice Locations 4

Location 11163 Johnson Ferry Rd Ste 250Marietta, GA 30068-2797 · Phone (770) 754-0787
Location 22001 Professional Pkwy Ste 250Woodstock, GA 30188-6445 · Phone (770) 754-0787
Location 35983 Highway 53 E Ste 200Dawsonville, GA 30534-6293 · Phone (770) 754-0787
Location 4470 Northside Cherokee Blvd Ste 170Canton, GA 30115-8029 · Phone (770) 754-0787

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goodman Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Goodman Dermatology, PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology11
Nurse Practitioner1

Clinicians, nearest first (12)

Christopher Buckley, D.O.
Dermatology
NPI 1659402196
2500 HOSPITAL BLVD STE 280
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts MedicareSame address
Marcus Goodman, D.O.
Dermatology
NPI 1407075880
2500 HOSPITAL BLVD STE 280
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts MedicareSame address
Josh Hammel, M.D.
Dermatology
NPI 1205123296
2500 HOSPITAL BLVD STE 280
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts MedicareSame address
Nedyalko Ivanov, DO
Dermatology
NPI 1548827710
2500 HOSPITAL BLVD STE 280
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts MedicareSame address
Keith Pennycook, DO
Dermatology
NPI 1821651944
2870 RONALD REAGAN BLVD STE 103
Cumming, GA 30041
(248) 601-4900
✔ PECOS✔ Accepts Medicare11 mi
Katherine Rupley
Dermatology
NPI 1134549199
5505 PEACHTREE DUNWOODY RD STE 412
Atlanta, GA 30342
(404) 459-9177
✔ PECOS✔ Accepts Medicare11 mi
Dionne Louis, MD
Dermatology
NPI 1891954459
2470 MT. ZION PARKWAY KAISER PERMANENTE SOUTHWOOD SPECIALTY CENTER
Jonesboro, GA 30236
(404) 365-0966
✔ PECOS✔ Accepts Medicare35 mi
Yasmin Hadian
Dermatology
NPI 1073132338
607 BEAMAN ST
Clinton, NC 28328
(910) 596-5409
✔ PECOS✔ Accepts Medicare348 mi
Lori Darrah, CNP
Nurse Practitioner
NPI 1699922914
45 S STANFIELD RD
Troy, OH 45373
(937) 339-8380
✔ PECOS✔ Accepts Medicare413 mi
Michael Roberts, DO
Dermatology
NPI 1710404082
209 PALERMO PL UNIT C
Venice, FL 34285
(941) 488-5300
✔ PECOS✔ Accepts Medicare493 mi
Seth Bernacki, DO
Dermatology
NPI 1528646775
4513 WILLIAMS DR
Georgetown, TX 78633
(512) 930-3909
✔ PECOS✔ Accepts Medicare817 mi
Heather Hensley, D.O.
Dermatology
NPI 1124280953
2501 E SOUTHERN AVE STE 18
Tempe, AZ 85282
(480) 830-8333
✔ PECOS✔ Accepts Medicare1,583 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 Goodman Dermatology, PC's NPI number?

The NPI number for Goodman Dermatology, PC is 1770801144. It was assigned to this organization in the NPPES registry on May 11, 2010.

Where is Goodman Dermatology, PC located?

Goodman Dermatology, PC is located at 2500 Hospital Blvd Ste 280, Roswell, GA 30076. The listed phone number is (770) 754-0787.

What is Goodman Dermatology, PC's specialty?

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

Is Goodman Dermatology, PC enrolled in Medicare?

Yes. Goodman Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goodman Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Goodman Dermatology, PC. 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 (11) and Nurse Practitioner (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Goodman Dermatology, PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Goodman Dermatology, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Goodman Dermatology, PC was last updated on March 24, 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.