Modern Dermatology Atlanta
NPI 1164947115 · Dermatology Physician · Dunwoody, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modern Dermatology Atlanta is a Dermatology Physician organization in Dunwoody, GA (NPI 1164947115).
Provider details
- NPI number
- 1164947115
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Naga Meduri, Owner(423) 280-2594
- License
- 57104 (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
9 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
- 2017-08-11
- Last updated
- 2017-08-11
Frequently asked questions
- What is Modern Dermatology Atlanta's NPI number?
- Modern Dermatology Atlanta's National Provider Identifier (NPI) is 1164947115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dermatology Atlanta?
- Modern Dermatology Atlanta is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Modern Dermatology Atlanta located?
- Modern Dermatology Atlanta's practice location on file with NPPES is 5696 Whitehall Walk, Dunwoody, GA 30338.
- What is Modern Dermatology Atlanta's phone number?
- The practice phone number listed in the NPPES registry for Modern Dermatology Atlanta is (423) 280-2594.
- Does Modern Dermatology Atlanta accept Medicare?
- Modern Dermatology Atlanta 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 Modern Dermatology Atlanta?
- The authorized official listed on Modern Dermatology Atlanta's NPPES record is Naga Meduri, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dermatology Atlanta's NPI active?
- Yes — Modern Dermatology Atlanta's NPI (1164947115) is active in the NPPES registry as of the last update on 2017-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.