Goodman Dermatology, PC
NPI 1770801144ActiveOrganization· Dermatology· Roswell, GA
Dermatology in Roswell, Georgia, registered in NPPES in May 2010. The authorized official on file is Marcus Goodman, D.O., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770801144 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2010 |
| Last updated in NPPES | Mar 24, 2022 |
| Certified by provider | Mar 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 064221 | 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) |
|---|
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