NPI age
19 years
Enumerated 2007-01-12
● Active Type 2 · Organization
Marietta Dermatology Associates PA
Marietta Dermatology Associates PA 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
Coppa
Director Of Billing Office
Last NPPES update
2023-04-28
Source: monthly bulk 2026-05
How this organization compares
Across 483 active dermatology providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
111 Marble Mill Rd Nw, Marietta Dermatology Associates PA
Marietta, GA 300601047
Mailing address
111 Marble Mill Rd Nw, Marietta Dermatology Associates PA
Marietta, GA 300601047
Authorized official
Gobin Coppa
Director Of Billing Office
📞 7704221013
Individual providers at this organization
17 individual providers on file at this primary practice address.
- Nicole Black, PA-C Physician Assistant NPI 1043874910
- Patricia Flynn, PAC Physician Assistant NPI 1235283219
- Jared Friedman, MD Dermatology NPI 1316904147
- Amy Goodman, PA-C Physician Assistant NPI 1265865414
- Jamie Groh, D.O. Dermatology NPI 1497082929
- Shana Hackworth, PHYSICIAN ASSISTANT Physician Assistant NPI 1710029277
- Robert Harper, MEDICAL DOCTOR Dermatology NPI 1982662599
- Jessica Harris, M.D. Dermatology NPI 1417360322
- Lisa Hill, PA-C Physician Assistant NPI 1184938797
- Kelly Houmand, P.A.-C Physician Assistant NPI 1164795241
- Sara Kaplan, PA-C Physician Assistant NPI 1295460723
- Jennifer Liechty, NP Nurse Practitioner NPI 1295099745
- Reagan Morgan, PA-C Dermatology NPI 1295413805
- Adam Perry, M.D. Dermatology NPI 1750608758
- Piyush Raman Dermatology NPI 1558471201
- Elizabeth Richwine, M.D. Dermatology NPI 1548383292
- Seth Yellin, MD Surgery NPI 1619933249
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 |
|---|---|---|
| 01 | CM6753 | MEDICARE RAILROAD |
Practice context
Multi-provider organization. 17 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 →
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