P Praxis·MD
● Active Type 2 · Organization

Northwest Georgia Dermatology & Skin Surgery Center Pc

Dermatology·Rome, GA· NPI 1467641381 · Enumerated 2007 · 18 years on NPI
Northwest Georgia Dermatology & Skin Surgery Center Pc is 1 of 29 dermatology organizations in Georgia.
NPI age
18 years
Enumerated 2007-10-16
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Owner/president
Last NPPES update
2011-10-19
Source: monthly bulk 2026-05

How this organization compares

Across 29 active dermatology providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-10Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
103 John Maddox Dr Nw
Rome, GA 301651419
📞 7062357711fax 7062359944
Mailing address
103 John Maddox Dr Nw
Rome, GA 301651419
📞 7062357711fax 7062359944

Authorized official

Jason L Smith, M.D.
Owner/president
📞 7062357711

Individual providers at this organization

6 individual providers on file at this primary practice address.

Specialties

  • Dermatology Primary
    Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery,...
    GA license #032302 taxonomy 207NS0135X

Identifiers

TypeValueNotes
05 (GA) 000398384A

Practice context

Multi-provider organization. 6 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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