Advanced Dermatology,p.C.
NPI 1932360757ActiveOrganization· Specialist· Douglasville, GA
Specialist in Douglasville, Georgia, registered in NPPES in June 2008. The authorized official on file is Amr A. Agha, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1932360757 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2008 |
| Last updated in NPPES | Jun 21, 2024 |
| Certified by provider | Jun 21, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 037741 | 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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