FAMILY DERMATOLOGY, P.C. – Dermatology Physician, NPI 1144493396

FAMILY DERMATOLOGY, P.C. is a healthcare provider. based in Lilburn, Georgia. specializing in Dermatology Physician. The NPI Number for FAMILY DERMATOLOGY, P.C. is 1144493396

Main info

Organization
Name
FAMILY DERMATOLOGY, P.C.
NPI
1144493396
Phone
(770) 921-4300
Address
629 BEAVER RUIN RD NW
Authorized Official
DELE YUDOWI MANAGER
Enumeration Date
9 April 2008
Last Update Date
27 May 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:18State licenses:0Digital endpointsOther names

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Provider Addresses for FAMILY DERMATOLOGY, P.C.

  • 629, Beaver Ruin Road, Luxomni, Lilburn, Gwinnett County, Georgia, 30047, United States

    SUITE B

    LILBURN, GA 300473401

    Phone: (770) 921-4300

    Fax: (770) 381-6451

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30047)

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Reviews

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Frequently asked questions

What is the registry number for FAMILY DERMATOLOGY, P.C.?
The registry entry for FAMILY DERMATOLOGY, P.C. shows NPI 1144493396.
Does the public listing show FAMILY DERMATOLOGY, P.C. as active?
FAMILY DERMATOLOGY, P.C.'s NPI record reflects an active status in NPPES.
How should patients interpret FAMILY DERMATOLOGY, P.C.'s specialty?
The extract shows Dermatology Physician for FAMILY DERMATOLOGY, P.C.. Clinical services aligned with this taxonomy classification.
Which community is linked to FAMILY DERMATOLOGY, P.C.?
FAMILY DERMATOLOGY, P.C. shows a connection to Lilburn, Georgia in registry-derived data.
Why is information missing for FAMILY DERMATOLOGY, P.C.?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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