P Praxis·MD
● Active Type 1 · Individual

Valiece Tiara Long, M.S.

Dermatology·Marietta, GA· NPI 1811780646 · Enumerated 2025 · 0 years on NPI
Long is 1 of 1 dermatology providers in Marietta and 1 of 29 in Georgia.
NPI age
— years
Enumerated 2025-05-24
Primary specialty
Dermatology
Licensed in
NE
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 29 active dermatology providers in Georgia.

NPI age
0 years
↓ 19 yr below median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-05Enumerated in NPPES
2025 2026

Where they practice

Practice location
750 Chastain Cor
Marietta, GA 300668518
📞 7275902303
Mailing address
Po Box 2343
Clearwater, FL 337572343
📞 7275902303

Specialties

  • Dermatology Primary
    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,...
    NE license #19340000X taxonomy 207NS0135X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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