Dermatology Associates of Tallahassee, PA
NPI 1730567504ActiveOrganization· Dermatology· Valdosta, GA
Dermatology in Valdosta, Georgia, registered in NPPES in May 2015. The authorized official on file is Stephen Richardson, MD, Board Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730567504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 13, 2015 |
| Last updated in NPPES | Jul 21, 2022 |
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 Valdosta
- 1457612491
- 1326347238
- 1073843652
- 1457554131
- 1164684304
- 1679574867