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DIPRETA DERMATOLOGY DISPENSARY
NPI 1821346651
Non-Pharmacy Dispensing Site in Jesup, GA

Active since August 28, 2012CLIA Certified · 3 labs
370 PEACHTREE ST, JESUP, GA 31545(912) 427-4344(912) 427-4303 Get Directions Write a Review

NPPES record last updated: August 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dipreta Dermatology Dispensary NPPES

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

DIPRETA DERMATOLOGY DISPENSARY (NPI 1821346651) is a healthcare organization registered as a non-pharmacy dispensing site in Jesup, Georgia and active in the NPI registry since August 2012. The organization holds 3 active CLIA laboratory certificates and lists Edward Anthony Dipreta, President, as its authorized official.

NPPES Registry Identity

NPI1821346651
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameEDWARD DIPRETA,MD, P.C.
Location Address370 PEACHTREE STJesup, GA 31545-0244
Mailing Address3008 E Park AveBrunswick, GA 31520-4241 · (912) 265-2142 · Fax (912) 265-0530
Phone(912) 427-4344
Fax(912) 427-4303
Organization SubpartYesParent: Edward Dipreta,md.p.c.
Authorized OfficialEdward Anthony DipretaPresident · (912) 265-2142
Enumeration DateAugust 28, 2012
✔ NPI 1821346651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in GA · 052707
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
370 PEACHTREE ST, Jesup, GA 31545
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Other Names 1

Doing Business AsDipreta Dermatology Dispensary

CLIA Laboratory Certificates CMS CLIA 3

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 Waiver 11D1079494

Dipreta Dermatology Clinic · Brunswick, GA
Active · expires May 8, 2028
CLIA Number11D1079494
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorEdward A. Dipreta
Laboratory Phone(912) 265-2142
Laboratory LocationDipreta Dermatology Clinic3008 East Park Avenue, Brunswick, GA 31520
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 11D2118676

Dipreta Dermatology · Brunswick, GA
Active · expires Feb 25, 2028
CLIA Number11D2118676
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorEdward A. Dipreta
Laboratory Phone(912) 268-4471
Laboratory LocationDipreta Dermatology114 Northpark Drive, Brunswick, GA 31520
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 11D2020344

Dipreta Dermatology/Jesup Office · Jesup, GA
Active · expires Feb 16, 2027
CLIA Number11D2020344
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorEdward A. Dipreta
Laboratory Phone(912) 427-4344
Laboratory LocationDipreta Dermatology/Jesup Office1007 S. Macon Street, Jesup, GA 31545
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Internal Medicine (Pulmonary Disease)
370 PEACHTREE ST
JESUP, GA 31545
Wayne County (912) 629-2290

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 Edward Dipreta,md, P.C.'s NPI number?

The NPI number for Edward Dipreta,md, P.C. is 1821346651. It was assigned to this organization in the NPPES registry on August 28, 2012. The provider is doing business as Dipreta Dermatology Dispensary.

Where is Edward Dipreta,md, P.C. located?

Edward Dipreta,md, P.C. is located at 370 Peachtree St, Jesup, GA 31545. The listed phone number is (912) 427-4344.

What is Edward Dipreta,md, P.C.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Edward Dipreta,md, P.C. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Edward Dipreta,md, P.C. was last updated on August 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.