P Praxis·MD
● Active Type 1 · Individual

Jordan Thompson, M.D.

Dermatology·Marietta, GA· NPI 1073049920 · Enumerated 2017 · 9 years on NPI
Thompson is 1 of 30 dermatology providers in Marietta and 1 of 483 in Georgia.
NPI age
9 years
Enumerated 2017-05-11
Primary specialty
Dermatology
Plus 2 subspecialties
Licensed in
GA, MA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-01-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
2 states
Top 87% — 13% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-05Enumerated in NPPES
2017 2026

Where they practice

Practice location
835 Cogburn Avenue, Suite 100
Marietta, GA 300601008
📞 7704225557fax 7704225456
Mailing address
835 Cogburn Avenue, Suite 250
Marietta, GA 300601010
📞 7704228815fax 7704228816

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1111 Amsterdam Ave, Department Of Medicine, Mt. Sinai St Lukes-Roosevelt
New York, NY 100251716
📞 2125237321

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 #96159MA license #286447 taxonomy 207N00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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