P Praxis·MD
● Active Type 1 · Individual

Jennifer Su, MD

Dermatology·Augusta, GA· NPI 1992468474 · Enumerated 2021 · 4 years on NPI
Su is 1 of 25 dermatology providers in Augusta and 1 of 483 in Georgia.
NPI age
4 years
Enumerated 2021-10-20
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-07-10
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
4 years
↓ 14 yr below median (18 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-10Enumerated in NPPES
2021 2026

Where they practice

Practice location
1447 Harper St
Augusta, GA 309121101
📞 7067213291fax 7067217960
Mailing address
1004 Chafee Ave
Augusta, GA 309045810

Additional practice locations

1 secondary location on file with NPPES.

Location 2
677 Church St Ne
Marietta, GA 300601101
📞 7707935000

Specialties

  • Dermatology Primary
    A 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...
    GA license #13634 taxonomy 207N00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 10 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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