Johns Creek Dermatology and Family Medicine, P.C.
NPI 1053565580ActiveOrganization· Dermatology· Johns Creek, GA
Dermatology in Johns Creek, Georgia, registered in NPPES in November 2008. The authorized official on file is Shereen Timani, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053565580 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 11, 2008 |
| Last updated in NPPES | Oct 5, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 061526 | GA |
| Dermatology, Dermatopathology | 207ND0900X | 061526 | GA |
| Family Medicine | 207Q00000X | 061566 | GA |
| Family Medicine, Geriatric Medicine | 207QG0300X | 061566 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
Other Dermatology providers in Johns Creek
- 1447437322
- 1033151063
- 1851505077