Advanced Dermatology of Georgia, LLC
NPI 1184005068 · Dermatology Physician · Albany, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Advanced Dermatology of Georgia, LLC is a Dermatology Physician organization in Albany, GA (NPI 1184005068).
Provider details
- NPI number
- 1184005068
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amy Declue, Director of Provider Services(407) 875-2080
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
11 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
- 2015-06-16
- Last updated
- 2018-01-22
Frequently asked questions
- What is Advanced Dermatology of Georgia, LLC's NPI number?
- Advanced Dermatology of Georgia, LLC's National Provider Identifier (NPI) is 1184005068, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Advanced Dermatology of Georgia, LLC?
- Advanced Dermatology of Georgia, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Advanced Dermatology of Georgia, LLC located?
- Advanced Dermatology of Georgia, LLC's practice location on file with NPPES is 401 W 4th Ave, Albany, GA 31701-1915.
- What is Advanced Dermatology of Georgia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Advanced Dermatology of Georgia, LLC is (229) 883-1130.
- Does Advanced Dermatology of Georgia, LLC accept Medicare?
- Advanced Dermatology of Georgia, 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 Advanced Dermatology of Georgia, LLC?
- The authorized official listed on Advanced Dermatology of Georgia, LLC's NPPES record is Amy Declue, Director of Provider Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Advanced Dermatology of Georgia, LLC's NPI active?
- Yes — Advanced Dermatology of Georgia, LLC's NPI (1184005068) is active in the NPPES registry as of the last update on 2018-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.