NPI age
2 years
Enumerated 2023-09-20
● Active Type 2 · Organization
Coastal Medical Dermatology
Coastal Medical Dermatology is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dareus
Owner
Last NPPES update
2023-09-20
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
2 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
285 W Wieuca Rd Ne
Atlanta, GA 303423321
Mailing address
45 Boynton Ave Se Unit 1207
Atlanta, GA 303151868
Authorized official
Sandra V Dareus
Owner
📞 2154399519
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Sandra Dareus Medical Genetics, Ph.D. Medical Genetics NPI 1093592552
- Kelvin Ellis Driver NPI 1619748258
- Johanna Jackson Non-emergency Medical Transport (VAN) NPI 1780437103
- Lesley Mitchell, LCSW Social Worker NPI 1336307891
- Kara Pepper, MD Internal Medicine NPI 1386829935
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- 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.