Prosynergy Dermatology LLC
NPI 1205518875 · Dermatology Physician · Martinez, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Prosynergy Dermatology LLC is a Dermatology Physician organization in Martinez, GA (NPI 1205518875).
Provider details
- NPI number
- 1205518875
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Squires, Ceo and President(706) 432-9285
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
2 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
- 2023-08-03
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Frequently asked questions
- What is Prosynergy Dermatology LLC's NPI number?
- Prosynergy Dermatology LLC's National Provider Identifier (NPI) is 1205518875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prosynergy Dermatology LLC?
- Prosynergy Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Prosynergy Dermatology LLC located?
- Prosynergy Dermatology LLC's practice location on file with NPPES is 111 Davis Rd, Martinez, GA 30907-2383.
- What is Prosynergy Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Prosynergy Dermatology LLC is (706) 432-9285.
- Does Prosynergy Dermatology LLC accept Medicare?
- Prosynergy 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 Prosynergy Dermatology LLC?
- The authorized official listed on Prosynergy Dermatology LLC's NPPES record is Stephen Squires, Ceo and President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prosynergy Dermatology LLC's NPI active?
- Yes — Prosynergy Dermatology LLC's NPI (1205518875) is active in the NPPES registry as of the last update on 2023-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.