Dermatology Specialists of Augusta, Inc
NPI 1558339275 · Dermatology Physician · Evans, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Specialists of Augusta, Inc is a Dermatology Physician organization in Evans, GA (NPI 1558339275).
Provider details
- NPI number
- 1558339275
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Brooks, Credentialing Manager(727) 547-0607
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
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
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1248 Augusta West PkwyAugusta, GA 30909-1854Phone: (706) 863-0500Fax: (706) 855-5062
Registry dates
- Enumerated
- 2006-03-09
- Last updated
- 2023-01-13
- Certified
- 2023-01-13
Frequently asked questions
- What is Dermatology Specialists of Augusta, Inc's NPI number?
- Dermatology Specialists of Augusta, Inc's National Provider Identifier (NPI) is 1558339275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Specialists of Augusta, Inc?
- Dermatology Specialists of Augusta, Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Specialists of Augusta, Inc located?
- Dermatology Specialists of Augusta, Inc's practice location on file with NPPES is 1203 Town Park Ln, Evans, GA 30809-3481.
- What is Dermatology Specialists of Augusta, Inc's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Specialists of Augusta, Inc is (706) 650-7546.
- Does Dermatology Specialists of Augusta, Inc accept Medicare?
- Dermatology Specialists of Augusta, Inc 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 Dermatology Specialists of Augusta, Inc?
- The authorized official listed on Dermatology Specialists of Augusta, Inc's NPPES record is Lisa Brooks, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Specialists of Augusta, Inc's NPI active?
- Yes — Dermatology Specialists of Augusta, Inc's NPI (1558339275) is active in the NPPES registry as of the last update on 2023-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.