P Praxis·MD
● Active Type 1 · Individual

DR. Nedyalko Nedyalkov Ivanov, DO

Dermatology·Roswell, GA· NPI 1548827710 · Enumerated 2019 · 7 years on NPI
Ivanov is 1 of 20 dermatology providers in Roswell and 1 of 483 in Georgia.
NPI age
7 years
Enumerated 2019-05-23
Primary specialty
Dermatology
Plus 3 subspecialties
Licensed in
GA, MI, FL
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-02-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
3 states
Top 87% — 13% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES
2019 2026

Where they practice

Practice location
2500 Hospital Blvd Ste 280
Roswell, GA 300764918
📞 7707540787fax 7707555890
Mailing address
2500 Hospital Blvd Ste 280
Roswell, GA 300764918
📞 7707540787

Specialties

  • Dermatology Primary
    A 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...
    GA license #98733MI license #5101026012GA license #15530FL license #20723 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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