Thacker Dermatology LLC
NPI 1326347238 · Dermatology Physician · Valdosta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thacker Dermatology LLC is a Dermatology Physician organization in Valdosta, GA (NPI 1326347238).
Provider details
- NPI number
- 1326347238
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Betsy Perry Thacker, Owner(229) 469-4383
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
15 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
- 2011-03-17
- Last updated
- 2023-10-26
- Certified
- 2023-10-26
Frequently asked questions
- What is Thacker Dermatology LLC's NPI number?
- Thacker Dermatology LLC's National Provider Identifier (NPI) is 1326347238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thacker Dermatology LLC?
- Thacker Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Thacker Dermatology LLC located?
- Thacker Dermatology LLC's practice location on file with NPPES is 4233 Camelot Crossing, Valdosta, GA 31602.
- What is Thacker Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Thacker Dermatology LLC is (229) 469-4383.
- Does Thacker Dermatology LLC accept Medicare?
- Thacker 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 Thacker Dermatology LLC?
- The authorized official listed on Thacker Dermatology LLC's NPPES record is Betsy Perry Thacker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thacker Dermatology LLC's NPI active?
- Yes — Thacker Dermatology LLC's NPI (1326347238) is active in the NPPES registry as of the last update on 2023-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.