George Dermatology, LLC
NPI 1275046773 · Dermatology Physician · Bridgeton, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
George Dermatology, LLC is a Dermatology Physician organization in Bridgeton, MO (NPI 1275046773).
Provider details
- NPI number
- 1275046773
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Noel George, Owner(314) 344-0004
- License
- 2006009450 (MO)
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
8 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
- 2017-11-07
- Last updated
- 2018-06-16
Frequently asked questions
- What is George Dermatology, LLC's NPI number?
- George Dermatology, LLC's National Provider Identifier (NPI) is 1275046773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is George Dermatology, LLC?
- George Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is George Dermatology, LLC located?
- George Dermatology, LLC's practice location on file with NPPES is 12255 Depaul Drive, Bridgeton, MO 63044-2515.
- What is George Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for George Dermatology, LLC is (314) 344-0004.
- Does George Dermatology, LLC accept Medicare?
- George 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 George Dermatology, LLC?
- The authorized official listed on George Dermatology, LLC's NPPES record is Mary Noel George, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is George Dermatology, LLC's NPI active?
- Yes — George Dermatology, LLC's NPI (1275046773) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.