NPI age
16 years
Enumerated 2010-03-29
● Active
Type 1 · Individual
Jane Iluba, MD
Iluba is 1 of 2 dermatology providers in Athens and 1 of 55 in Georgia.
Primary specialty
Dermatology
Plus 2 subspecialties
Licensed in
GA, SC, IN
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-11-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 55 active dermatology providers in Georgia.
NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
3 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
65% of peers hold subspecialties
NPI lifetime · 2010 → 2026
2010-03Enumerated in NPPES
2010
2026
Where they practice
Practice location
658 N Chase St # 102
Athens, GA 306011960
Mailing address
2505 Harrison Ave
Panama City, FL 324054464
Specialties
-
Dermatology PrimaryThe highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 93791 | GA MEDICAL LICENSE |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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