P Praxis·MD
● Active Type 2 · Organization

Advanced Dermatology Of Georgia, Llc

Dermatology·Albany, GA· NPI 1184005068 · Enumerated 2015 · 10 years on NPI
Advanced Dermatology Of Georgia, Llc is 1 of 483 dermatology organizations in Georgia.
NPI age
10 years
Enumerated 2015-06-16
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Declue
Director Of Provider Services
Last NPPES update
2018-01-22
Source: monthly bulk 2026-05

How this organization compares

Across 483 active dermatology providers in Georgia.

NPI age
10 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2015 → 2026

2015-06Enumerated in NPPES
2015 2026

Where they practice

Primary practice location
401 W 4th Ave
Albany, GA 317011915
📞 2298831130fax 2298831153
Mailing address
151 Southhall Ln, Suite 300
Maitland, FL 327517176
📞 4078752080fax 4076503455

Authorized official

Amy Declue
Director Of Provider Services
📞 4078752080

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...
    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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