NPI age
11 years
Enumerated 2014-07-01
● Active Type 2 · Organization
Riverside Dermatology And Aesthetic Center, Pc
Riverside Dermatology And Aesthetic Center, Pc is 1 of 483 dermatology organizations in Georgia.
Primary specialty
Dermatology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fussell
Physician
Last NPPES update
2014-07-01
Source: monthly bulk 2026-05
How this organization compares
Across 483 active dermatology providers in Georgia.
NPI age
11 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-07Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
2045 Centre Stone Ct, Suite B
Columbus, GA 319044571
Mailing address
2045 Centre Stone Ct, Suite B
Columbus, GA 319044571
Authorized official
Jacqueline Nicole Fussell, M.D
Physician
📞 7062574189
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Jasmine Carbone, PT, DPT Physical Therapist NPI 1578176244
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...
Practice context
Multi-provider organization. 1 individual provider 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.