Aqua Dermatology of Georgia PC
NPI 1114022167 · Dermatology Physician · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aqua Dermatology of Georgia PC is a Dermatology Physician organization in Marietta, GA (NPI 1114022167).
Provider details
- NPI number
- 1114022167
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theodore Schiff, Owner(770) 422-5557
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
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
Other names (DBA / former)
- Doing business as
- Goodman Dermatology, Skin Cancer Specialists PC & Aesthetics Center
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2024-09-16
- Certified
- 2024-09-16
Frequently asked questions
- What is Aqua Dermatology of Georgia PC's NPI number?
- Aqua Dermatology of Georgia PC's National Provider Identifier (NPI) is 1114022167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aqua Dermatology of Georgia PC?
- Aqua Dermatology of Georgia PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Aqua Dermatology of Georgia PC located?
- Aqua Dermatology of Georgia PC's practice location on file with NPPES is 835 Cogburn Ave Nw, Marietta, GA 30060-1031.
- What is Aqua Dermatology of Georgia PC's phone number?
- The practice phone number listed in the NPPES registry for Aqua Dermatology of Georgia PC is (770) 422-5557.
- Does Aqua Dermatology of Georgia PC accept Medicare?
- Aqua Dermatology of Georgia 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 Aqua Dermatology of Georgia PC?
- The authorized official listed on Aqua Dermatology of Georgia PC's NPPES record is Theodore Schiff, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aqua Dermatology of Georgia PC's NPI active?
- Yes — Aqua Dermatology of Georgia PC's NPI (1114022167) is active in the NPPES registry as of the last update on 2024-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.