P Praxis·MD
● Active Type 1 · Individual

Jacqueline Nicole Flandry, M.D.

Dermatology·Columbus, GA· NPI 1306089800 · Enumerated 2009 · 17 years on NPI
Flandry is 1 of 11 dermatology providers in Columbus and 1 of 483 in Georgia.
NPI age
17 years
Enumerated 2009-04-13
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-06-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES
2009 2026

Where they practice

Practice location
1150 Brookstone Centre Pkwy
Columbus, GA 319044577
📞 7062574189fax 7062574194
Mailing address
835 Cogburn Ave Nw Ste 250
Marietta, GA 300601056
📞 7704228815fax 7704228816

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 #070111GA license #70111 taxonomy 207N00000X

Identifiers

TypeValueNotes
01 (GA) 202G708679 MEDICARE PTAN
05 (GA) 003159653A

Practice context

Part of a multi-provider practice. 2 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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