Advanced Dermatology of Georgia, LLC
NPI 1184005068ActiveOrganization· Dermatology· Albany, GA
Dermatology in Albany, Georgia, registered in NPPES in June 2015. The authorized official on file is Amy Declue, Director Of Provider Services. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184005068 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2015 |
| Last updated in NPPES | Jan 22, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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 Albany
- 1295721512
- 1336201813
- 1952530222
- 1114919438