Southern Dermatology PC
NPI 1437437837 · Dermatology Physician · Lawrenceville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Dermatology PC is a Dermatology Physician organization in Lawrenceville, GA (NPI 1437437837).
Provider details
- NPI number
- 1437437837
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Winfred Moody, Owner(770) 817-2592
- License
- 045299 (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
14 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
- 2011-08-02
- Last updated
- 2011-09-28
Frequently asked questions
- What is Southern Dermatology PC's NPI number?
- Southern Dermatology PC's National Provider Identifier (NPI) is 1437437837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Dermatology PC?
- Southern Dermatology PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Southern Dermatology PC located?
- Southern Dermatology PC's practice location on file with NPPES is 1805 Herrington Rd, Lawrenceville, GA 30043-7987.
- What is Southern Dermatology PC's phone number?
- The practice phone number listed in the NPPES registry for Southern Dermatology PC is (770) 817-2592.
- Does Southern Dermatology PC accept Medicare?
- Southern Dermatology PC 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 Southern Dermatology PC?
- The authorized official listed on Southern Dermatology PC's NPPES record is Winfred Moody, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Dermatology PC's NPI active?
- Yes — Southern Dermatology PC's NPI (1437437837) is active in the NPPES registry as of the last update on 2011-09-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.