P Praxis·MD
● Active Type 1 · Individual

DR. Windell C Davis-Boutte, M.D.

Dermatology·Lilburn, GA· NPI 1669409298 · Enumerated 2006 · 19 years on NPI
Davis-Boutte is 1 of 6 dermatology providers in Lilburn and 1 of 483 in Georgia.
NPI age
19 years
Enumerated 2006-06-27
Primary specialty
Dermatology
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 483 active dermatology providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
33% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
4650 Stone Mountain Ga
Lilburn, GA 30047
📞 7709384001fax 7709384849
Mailing address
2165 Spencers Way
Stone Mountain, GA 300871246
📞 7709384001fax 7709384849

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 #039318 taxonomy 207N00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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 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.

Related