OrganizationActive
Super Dermatology LLC
NPI 1669971776 · Dermatology Physician · Conyers, GA
Provider details
- NPI number
- 1669971776
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dione Super, Owner(770) 285-3533
- License
- 60121 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
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
1364 Wellbrook Cir Ne
Conyers, GA 30012-3872
Phone: (770) 285-3533
Street-level locationGet directions
Mailing address
1351 Audubon Ct Sw
Atlanta, GA 30311-2471
Registry dates
- Enumerated
- 2018-02-03
- Last updated
- 2018-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.