NPI age
10 years
Enumerated 2015-12-09
● Active Type 2 · Organization
Blue Ridge Dermatology
Blue Ridge Dermatology is 1 of 1333 physician assistant organizations in Georgia.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lovingood
Pm
Last NPPES update
2015-12-09
Source: monthly bulk 2026-05
How this organization compares
Across 1333 active physician assistant providers in Georgia.
NPI age
10 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-12Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
101 Riverstone Vis, Ste 215
Blue Ridge, GA 305136648
Mailing address
101 Riverstone Vis, Ste 215
Blue Ridge, GA 305136648
Authorized official
Frances Lovingood
Pm
📞 7069464227
Individual providers at this organization
17 individual providers on file at this primary practice address.
- Tracy Allen, P.A. Physician Assistant NPI 1124036520
- Judith Boivin, R.N.,LCSW, ACSW Social Worker NPI 1538393442
- Edward Boye, LPC Counselor NPI 1982636767
- Charles Dooley, R.PH. Pharmacist NPI 1932227220
- Elias Issa, MD Internal Medicine NPI 1053305888
- Ashley Jones Physical Therapist NPI 1245483718
- Jacqueline Malloy, ARNP Nurse Practitioner NPI 1861445447
- Philip Mills, MD Dermatology NPI 1487610945
- Lindsey Niknezhad, PA-C Physician Assistant NPI 1194272542
- Laura Parker, LPC Counselor NPI 1124280011
- Brittany Perslin, APRN, FNP-BC Nurse Practitioner NPI 1336410059
- Shannon Pitman, M.D. Family Medicine NPI 1982773891
- Deborah Reynolds, FNP-C Nurse Practitioner NPI 1609882026
- Lee Tidman, CNP Nurse Practitioner NPI 1316947260
- Raymond Tidman, MD Family Medicine NPI 1588663686
- Frank Trigg, M.D. Internal Medicine NPI 1174522262
- Marilyn Williams, NP Nurse Practitioner NPI 1881655728
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Multi-provider organization. 17 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.