P Praxis·MD
● Active Type 2 · Organization

Georgia Mountain Dermatology, Llc

Dermatology·Jasper, GA· NPI 1043400088 · Enumerated 2007 · 18 years on NPI
Georgia Mountain Dermatology, Llc is 1 of 483 dermatology organizations in Georgia.
NPI age
18 years
Enumerated 2007-07-26
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Faulk
President
Last NPPES update
2007-07-26
Source: monthly bulk 2026-05

How this organization compares

Across 483 active dermatology providers in Georgia.

NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-07Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
150 Interstate South Drive, Suite 100
Jasper, GA 30143
📞 7062533376
Mailing address
150 Interstate South Drive, Suite 100
Jasper, GA 30143

Authorized official

Carlton Trent Faulk, M.D.
President
📞 7062533376

Specialties

  • Dermatology Primary
    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...
    GA license #033322 taxonomy 207N00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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