NPI age
19 years
Enumerated 2007-02-05
● Active Type 2 · Organization
Dermatology Specialists Of Georgia, Llc
Dermatology Specialists Of Georgia, 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
Ward
Md/owner
Last NPPES update
2022-09-02
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
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
658 N Chase Street Unit 102
Athens, GA 30601
Mailing address
2505 Harrison Ave
Panama City, FL 324054464
Authorized official
Jon R Ward, MD
Md/owner
📞 8502333376
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 (GA) | 30926 | WELLCARE |
| 01 (GA) | 10059273 | AMERIGROUP |
| 05 (GA) | 000084961B |
Practice context
Single-site organization. Only one practice location on file.
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