NPI age
7 years
Enumerated 2018-09-17
● Active Type 2 · Organization
Live Oak Dermatology
Live Oak Dermatology is 1 of 483 dermatology organizations in Georgia.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Goedjen
Ceo
Last NPPES update
2022-07-22
Source: monthly bulk 2026-05
How this organization compares
Across 483 active dermatology providers in Georgia.
NPI age
7 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2018 → 2026
2018-09Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
135 Norcross St # 8
Roswell, GA 300753867
Mailing address
135 Norcross St # 8
Roswell, GA 300753867
Authorized official
Brent Goedjen, MD
Ceo
📞 6788702020
Specialties
-
Dermatology PrimaryA 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...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.