NPI age
10 years
Enumerated 2016-02-12
● Active Type 2 · Organization
Skin Center Of Georgia, Pc
Skin Center Of Georgia, Pc 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
Caudell
President
Last NPPES update
2016-03-10
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 · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1250 Jesse Jewell Pkwy Se, Suite 500
Gainesville, GA 305013871
Mailing address
Po Box 1456
Gainesville, GA 305031456
Authorized official
Misty Caudell, M.D.
President
📞 7062016324
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Kasey Bolton, PNP Nurse Practitioner NPI 1184754210
- April Bussoletti, NP Nurse Practitioner NPI 1134195092
- Usman Choudhry, DO Physical Medicine & Rehabilitation NPI 1215371380
- Salima Dewani, FNP Nurse Practitioner NPI 1528520947
- Sheenagh King, RD, LD Dietitian, Registered NPI 1891071338
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 101343342 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Georgia Skin Center
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.