P Praxis·MD
● Active Type 1 · Individual

DR. Jennifer Louise Buckley, MD

Dermatology·Marietta, GA· NPI 1215908652 · Enumerated 2006 · 20 years on NPI
Buckley is 1 of 30 dermatology providers in Marietta and 1 of 483 in Georgia.
NPI age
20 years
Enumerated 2006-02-01
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-06-12
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 · 2006 → 2026

2006-02Enumerated in NPPES
2006 2026

Where they practice

Practice location
835 Cogburn Ave Nw, Suite 100
Marietta, GA 300601031
📞 7704225557fax 7704225456
Mailing address
835 Cogburn Ave Nw, Suite 100
Marietta, GA 300601031
📞 7704225557fax 7704225456

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 #051441 taxonomy 207N00000X

Identifiers

TypeValueNotes
01 (GA) P00121329 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 483 Dermatology providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related