OCONEE DERMATOPATHOLOGY – Procedural Dermatology Physician, NPI 1790989291

OCONEE DERMATOPATHOLOGY is a healthcare provider. based in Watkinsville, Georgia. specializing in Procedural Dermatology Physician. The organization holds a License No. 050931 (GA). The NPI Number for OCONEE DERMATOPATHOLOGY is 1790989291

Main info

Organization
Name
OCONEE DERMATOPATHOLOGY
NPI
1790989291
Phone
(706) 769-7546
Address
1582 MARS HILL RD
Authorized Official
STELLA MARIES BULENGO OWNER M.D.
Enumeration Date
11 June 2007
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness90
Years active:18State licenses:1Digital endpoints

Provider Addresses for OCONEE DERMATOPATHOLOGY

  • 1582 MARS HILL RD

    SUITE A

    WATKINSVILLE, GA 306774836

    Phone: (706) 769-7546

    Fax: (706) 769-2443

    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.

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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 30677)

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Frequently asked questions

How is OCONEE DERMATOPATHOLOGY identified in CMS data?
CMS-hosted NPPES data lists OCONEE DERMATOPATHOLOGY with NPI 1790989291.
Is OCONEE DERMATOPATHOLOGY listed as active for patients and plans?
The listing shows OCONEE DERMATOPATHOLOGY as active in the NPI system.
What is OCONEE DERMATOPATHOLOGY's primary classification?
Procedural Dermatology Physician is the headline specialty for OCONEE DERMATOPATHOLOGY here. Clinical services aligned with this taxonomy classification.
Does OCONEE DERMATOPATHOLOGY list a practice location?
Patients near Watkinsville, Georgia may find OCONEE DERMATOPATHOLOGY in results; validate coverage separately.
Why does OCONEE DERMATOPATHOLOGY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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