Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Johns Creek Dermatology and Family Medicine, PC

Organization Dermatology Physician · NPI 1053565580

Johns Creek Dermatology and Family Medicine, PC provides Dermatology Physician services in Johns Creek, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6300 Hospital Pkwy Ste 100
Johns Creek, GA 30097 Not confirmed with CMS for 16 years — call before visiting
Phone: (770) 771-6591
Fax: (770) 771-6599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 061526 (GA)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 061526 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 061566 (GA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 061566 (GA)

Record details

NPI number1053565580
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shereen Timani — Owner · (770) 771-6591
NPI enumeratedNovember 11, 2008
Last updated in NPPESOctober 5, 2010
Mailing address6300 Hospital Pkwy, Ste 100, Johns Creek, GA 30097

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