NPI age
20 years
Enumerated 2006-04-26
● Active
Type 1 · Individual
MR. Myles Sidney Jerdan, MEDICAL DOCTOR
Jerdan is 1 of 2 dermatology providers in Lagrange and 1 of 483 in Georgia.
Primary specialty
Dermatology
Plus 3 subspecialties
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-08-28
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
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 87% — 13% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-04Enumerated in NPPES
2006
2026
Where they practice
Practice location
1605 Whitesville St
Lagrange, GA 302405903
Mailing address
2505 Harrison Ave
Panama City, FL 324054464
Specialties
-
Dermatology PrimaryA 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...
-
DermatologyA dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | Q053605 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.