Goodman Dermatology, PC
NPI 1770801144 · Dermatology Physician · Roswell, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1770801144
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marcus Goodman, Owner(770) 754-0787
- License
- 064221 (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
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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 (4)
- 470 Northside Cherokee Blvd Ste 170Canton, GA 30115-8029Phone: (770) 754-0787
- 5983 Highway 53 E Ste 200Dawsonville, GA 30534-6293Phone: (770) 754-0787
- 1163 Johnson Ferry Rd Ste 250Marietta, GA 30068-2797Phone: (770) 754-0787
- 2001 Professional Pkwy Ste 250Woodstock, GA 30188-6445Phone: (770) 754-0787
Registry dates
- Enumerated
- 2010-05-11
- Last updated
- 2022-03-24
- Certified
- 2022-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.