DR. JUDAH NORMAN GREENBERG (M.D.) – MOHS-Micrographic Surgery Physician, NPI 1124288790

DR. JUDAH NORMAN GREENBERG (M.D.) is a healthcare provider. based in Watkinsville, Georgia. specializing in DERMATOLOGY, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials M.D.. They hold a License No. 66948 (GA). The NPI Number for DR. JUDAH NORMAN GREENBERG (M.D.) is 1124288790

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUDAH NORMAN GREENBERG (M.D.)
NPI
1124288790
Phone
(706) 543-5858
Address
1180 RESURGENCE DR STE 100
Enumeration Date
16 June 2008
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Secondary Phone
4043555484
Graduation Year
2008 (18 years ago)
PAC ID
4587966924
Group Practice PAC ID
6800784281
Professional Enrollment ID
I20170921000538
Address ID
GA303261418AT3379XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

Provider Addresses for DR. JUDAH NORMAN GREENBERG (M.D.)

  • 1180 RESURGENCE DR STE 100

    WATKINSVILLE, GA 306777211

    Phone: (706) 543-5858

    Fax: (706) 543-2050

    Type: Mailing

  • 540 CHARTER BLVD STE 200

    MACON, GA 312104893

    Phone: (706) 543-5858

    Fax: (706) 543-2050

    Type: Location

  • 200, Coliseum Drive, Macon, Bibb County, Georgia, 31217, United States

    MACON, GA 312173861

    Phone: (478) 314-0784

    Fax: (478) 745-2623

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $684.

Total Amount is formed as General ($684) + Research ($0) + Ownership ($0) = $684.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ABBVIE INC. ($421).

Total Amount

$684

General + Research + Ownership

Payments

38

Total payment records

General Amount

$684

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170921000538IDermatologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,129185$0
99213Established patient office or other outpatient visit, 20-29 minutes625498$0
11102Biopsy of related skin growth, first growth400326$0
11103Biopsy of related skin growth, each additional growth370166$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks343239$0
View full utilization report →

Insurance plans in this area (ZIP 30677)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784281View full group profile
NameSpecialtyState
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YNY
D E R M A T O L O G YMN
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
Dermatology, Micrographic Dermatologic Surgery (Mds), DermatologyIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JUDAH NORMAN GREENBERG (M.D.)?
DR. JUDAH NORMAN GREENBERG (M.D.) — NPI 1124288790 — is the standard way to identify this listing.
Is DR. JUDAH NORMAN GREENBERG (M.D.) still practicing?
DR. JUDAH NORMAN GREENBERG (M.D.) is currently listed as active in the public NPI registry.
What is DR. JUDAH NORMAN GREENBERG (M.D.) best known for clinically?
Directory data describes DR. JUDAH NORMAN GREENBERG (M.D.) with MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JUDAH NORMAN GREENBERG (M.D.) based?
DR. JUDAH NORMAN GREENBERG (M.D.) is tied to Watkinsville, Georgia in the data we show; additional addresses may exist on the full record.
Why does DR. JUDAH NORMAN GREENBERG (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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