Georgia Mountain Dermatology, LLC
NPI 1043400088 · Dermatology Physician · Jasper, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Georgia Mountain Dermatology, LLC is a Dermatology Physician organization in Jasper, GA (NPI 1043400088).
Provider details
- NPI number
- 1043400088
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlton Faulk, President(706) 253-3376
- License
- 033322 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-26
- Last updated
- 2007-07-26
Frequently asked questions
- What is Georgia Mountain Dermatology, LLC's NPI number?
- Georgia Mountain Dermatology, LLC's National Provider Identifier (NPI) is 1043400088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Mountain Dermatology, LLC?
- Georgia Mountain Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Georgia Mountain Dermatology, LLC located?
- Georgia Mountain Dermatology, LLC's practice location on file with NPPES is 150 Interstate South Drive, Jasper, GA 30143.
- What is Georgia Mountain Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Georgia Mountain Dermatology, LLC is (706) 253-3376.
- Does Georgia Mountain Dermatology, LLC accept Medicare?
- Georgia Mountain Dermatology, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Georgia Mountain Dermatology, LLC?
- The authorized official listed on Georgia Mountain Dermatology, LLC's NPPES record is Carlton Faulk, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Georgia Mountain Dermatology, LLC's NPI active?
- Yes — Georgia Mountain Dermatology, LLC's NPI (1043400088) is active in the NPPES registry as of the last update on 2007-07-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.