NPI age
14 years
Enumerated 2011-08-02
● Active Type 2 · Organization
Southern Dermatology Pc
Southern Dermatology 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
Moody
Owner
Last NPPES update
2011-09-28
Source: monthly bulk 2026-05
How this organization compares
Across 483 active dermatology providers in Georgia.
NPI age
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
1805 Herrington Rd, Building 3, Suite A
Lawrenceville, GA 300437987
Mailing address
1805 Herrington Rd, Building 3, Suite A
Lawrenceville, GA 300437987
Authorized official
Winfred Derrick Moody, M.D.
Owner
📞 7708172592
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Cassin Cole-Straub, PSY.D. Psychologist NPI 1548513963
- Joseph Fallon, PH.D. Psychologist NPI 1285789222
- Rachel Lacy, PSY.D. Clinical Neuropsychologist NPI 1760690960
- Kelle Ray, PH.D. Psychologist NPI 1386727048
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. 4 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 483 Dermatology providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- 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.