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NPI 1760493167
● Active Type 2 · Organization
West Georgia Dermatology Pc
Specialist · Lagrange, GA · NPI 1760493167
·
Enumerated 2006 · 20 years on NPI
West Georgia Dermatology Pc is 1 of 1,876 specialist organizations in Georgia.
NPI age
20 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: CMS NPPES provider record
How this organization compares
Across 1876 active specialist providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2014
2006-08 Enumerated in NPPES
2006
2014
Where they practice
Primary practice location
1605 Whitesville St
Lagrange, GA 302405903
📞 7068825119 fax 7068820270
Mailing address
1605 Whitesville St
Lagrange, GA 302405903
📞 7068825119 fax 7068820270
Authorized official
Garin Daniel Barth, MD
Owner
📞 7068825119
Other providers sharing this address
5 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
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
Practice context
Shared NPPES address.
5 individual providers use this primary address. This does not prove employment or affiliation.
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How to verify this organization
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.
Provider record updated 2014-03-20
· Source: CMS NPPES bulk export. Check the linked CMS record for the latest source entry.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.
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