NPI age
15 years
Enumerated 2011-03-17
● Active Type 2 · Organization
Thacker Dermatology Llc
Thacker Dermatology Llc 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
Perry Thacker
Owner
Last NPPES update
2023-10-26
Source: monthly bulk 2026-05
How this organization compares
Across 483 active dermatology providers in Georgia.
NPI age
15 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-03Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
4233 Camelot Crossing
Valdosta, GA 31602
Mailing address
4233 Camelot Crossing
Valdosta, GA 31602
Authorized official
Betsy Perry Thacker
Owner
📞 2294694383
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Betsy Backe, M.D. Dermatology NPI 1457554131
- Candis Davis, RN Nurse Practitioner NPI 1679987804
- Faith Jones, AGNP-C Dermatology NPI 1952182784
- Nina Keown, FNP Nurse Practitioner NPI 1316299662
- Abbey Vandermeid, NP Nurse Practitioner NPI 1801131859
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
Multi-provider organization. 5 individual providers on file at this primary address.
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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.