OrganizationActive
South Georgia Dermatology, PC
NPI 1770645228 · Dermatology Physician · Tifton, GA
South Georgia Dermatology, PC is a Dermatology Physician organization in Tifton, GA (NPI 1770645228).
Provider details
- NPI number
- 1770645228
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristyn Renfroe, Practice Manager(229) 386-9333
- License
- 044059 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
802 18th St E
Tifton, GA 31794-3661
Phone: (229) 386-9333
Fax: (229) 386-1666
Street-level locationGet directions
Mailing address
802 18th St E
Tifton, GA 31794-3661
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2020-08-22
Frequently asked questions
- What is South Georgia Dermatology, PC's NPI number?
- South Georgia Dermatology, PC's National Provider Identifier (NPI) is 1770645228, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Georgia Dermatology, PC?
- South Georgia Dermatology, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is South Georgia Dermatology, PC located?
- South Georgia Dermatology, PC's practice location on file with NPPES is 802 18th St E, Tifton, GA 31794-3661.
- What is South Georgia Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for South Georgia Dermatology, PC is (229) 386-9333.
- Who is the authorized official for South Georgia Dermatology, PC?
- The authorized official listed on South Georgia Dermatology, PC's NPPES record is Kristyn Renfroe, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Georgia Dermatology, PC's NPI active?
- Yes — South Georgia Dermatology, PC's NPI (1770645228) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.