P Praxis·MD
● Active Type 1 · Individual

DR. Jill Buckthal-McCuin, MD

Dermatology·Greensboro, GA· NPI 1780803098 · Enumerated 2007 · 19 years on NPI
Buckthal-McCuin is 1 of 1 dermatology providers in Greensboro and 1 of 20 in Georgia.
NPI age
19 years
Enumerated 2007-04-25
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-06-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 20 active dermatology providers in Georgia.

NPI age
19 years
↑ 2 yr above median (16 yr)
State licenses
1 state
50% of peers hold multiple states
Subspecialties
1
In the 80% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-04Enumerated in NPPES
2007 2026

Where they practice

Practice location
1000 Cowles Clinc Way, Aspen Cottages
Greensboro, GA 306425285
📞 7062257177
Mailing address
710 Newnan Crossing Byp
Newnan, GA 302632384
📞 7702515111fax 7702548680

Specialties

  • Dermatology Primary
    A 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...
    GA license #061214 taxonomy 207ND0900X
  • Dermatology
    Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery,...
    GA license #61214 taxonomy 207NS0135X

Identifiers

TypeValueNotes
05 (GA) 874913241A
01 (GA) P00693238 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

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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.

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