Woodstock Dermatology, PC
NPI 1063422251 · Specialist · Woodstock, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Woodstock Dermatology, PC is a Specialist organization in Woodstock, GA (NPI 1063422251).
Provider details
- NPI number
- 1063422251
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Anita Waddell, Office Manager(770) 924-2573
- License
- 32512 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2006-08-09
- Last updated
- 2026-02-09
- Certified
- 2026-02-09
Frequently asked questions
- What is Woodstock Dermatology, PC's NPI number?
- Woodstock Dermatology, PC's National Provider Identifier (NPI) is 1063422251, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Woodstock Dermatology, PC?
- Woodstock Dermatology, PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Woodstock Dermatology, PC located?
- Woodstock Dermatology, PC's practice location on file with NPPES is 300 Parkbrooke Pl, Woodstock, GA 30189-7209.
- What is Woodstock Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Woodstock Dermatology, PC is (770) 924-2573.
- Does Woodstock Dermatology, PC accept Medicare?
- Woodstock Dermatology, PC 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 Woodstock Dermatology, PC?
- The authorized official listed on Woodstock Dermatology, PC's NPPES record is Anita Waddell, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Woodstock Dermatology, PC's NPI active?
- Yes — Woodstock Dermatology, PC's NPI (1063422251) is active in the NPPES registry as of the last update on 2026-02-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.