Dermatology Associates of Tallahassee, PA
NPI 1730567504 · Dermatology Physician · Valdosta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology Associates of Tallahassee, PA is a Dermatology Physician organization in Valdosta, GA (NPI 1730567504).
Provider details
- NPI number
- 1730567504
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Richardson, Board Secretary(850) 877-4134
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
11 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
- 2015-05-13
- Last updated
- 2022-07-21
Frequently asked questions
- What is Dermatology Associates of Tallahassee, PA's NPI number?
- Dermatology Associates of Tallahassee, PA's National Provider Identifier (NPI) is 1730567504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology Associates of Tallahassee, PA?
- Dermatology Associates of Tallahassee, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology Associates of Tallahassee, PA located?
- Dermatology Associates of Tallahassee, PA's practice location on file with NPPES is 4233 Camelot Xing, Valdosta, GA 31602-6926.
- What is Dermatology Associates of Tallahassee, PA's phone number?
- The practice phone number listed in the NPPES registry for Dermatology Associates of Tallahassee, PA is (229) 469-4383.
- Does Dermatology Associates of Tallahassee, PA accept Medicare?
- Dermatology Associates of Tallahassee, PA 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 Associates of Tallahassee, PA?
- The authorized official listed on Dermatology Associates of Tallahassee, PA's NPPES record is Stephen Richardson, Board Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology Associates of Tallahassee, PA's NPI active?
- Yes — Dermatology Associates of Tallahassee, PA's NPI (1730567504) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.