P Praxis·MD
● Active Type 2 · Organization

West Georgia Dermatology Pc

Specialist·Lagrange, GA· NPI 1760493167 · Enumerated 2006 · 19 years on NPI
West Georgia Dermatology Pc is 1 of 1881 specialist organizations in Georgia.
NPI age
19 years
Enumerated 2006-08-10
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Barth
Owner
Last NPPES update
2014-03-20
Source: monthly bulk 2026-05

How this organization compares

Across 1881 active specialist providers in Georgia.

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

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1605 Whitesville St
Lagrange, GA 302405903
📞 7068825119fax 7068820270
Mailing address
1605 Whitesville St
Lagrange, GA 302405903
📞 7068825119fax 7068820270

Authorized official

Garin Daniel Barth, MD
Owner
📞 7068825119

Individual providers at this organization

5 individual providers on file at this primary practice address.

  • Debra Banks, MSN, RNFA, APRN, NP Nurse Practitioner NPI 1275755167
  • Garin Barth, MD Dermatology NPI 1770518045
  • Myles Jerdan, MEDICAL DOCTOR Dermatology NPI 1770549701
  • Emmy Swords, NP Nurse Practitioner NPI 1245053776
  • Amanda Ward, PHYSICIAN ASSISTANT Physician Assistant NPI 1316059793

Specialties

  • Specialist Primary
    An 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.
    GA license #30949 taxonomy 174400000X

Identifiers

TypeValueNotes
01 (GA) 280767 BC/BS PROVIDER NUMBER

Practice context

Multi-provider organization. 5 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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