P Praxis·MD
● Active Type 1 · Individual

Jonathan Barak Fass, MD

Dermatology·Greensboro, GA· NPI 1104821917 · Enumerated 2005 · 20 years on NPI
Fass is 1 of 1 dermatology providers in Greensboro and 1 of 483 in Georgia.
NPI age
20 years
Enumerated 2005-06-17
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-01-25
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
20 years
↑ 2 yr above median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
1000 Cowles Clinic Way Ste 100
Greensboro, GA 306425285
📞 7065435858fax 7065432050
Mailing address
1180 Resurgence Dr Ste 100
Watkinsville, GA 306777211
📞 7065435858fax 7065432050

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 #046089 taxonomy 207N00000X

Practice context

Solo or small practice. No 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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