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

Northwest Georgia Dermatology & Skin Surgery Center PC

Organization Procedural Dermatology Physician · NPI 1467641381

Northwest Georgia Dermatology & Skin Surgery Center PC provides Procedural Dermatology Physician services in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

103 John Maddox Dr NW
Rome, GA 30165-1419 Not confirmed with CMS for 14 years — call before visiting
Phone: (706) 235-7711
Fax: (706) 235-9944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 032302 (GA)

Record details

NPI number1467641381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Smith — Owner/President · (706) 235-7711
NPI enumeratedOctober 16, 2007
Last updated in NPPESOctober 19, 2011
Mailing address103 John Maddox Dr Nw, Rome, GA 30165-1419

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