Aqua Dermatology of Georgia PC
A Medicare group practice based in Cumming, GA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6800885757), with 72 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6800885757
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- GA
- Enrollments
- 1
- Group size
- 56 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 23
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040507000201 | GA | Part B Supplier - Clinic/Group Practice | 1114022167 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Aqua Dermatology of Georgia PC
dba Goodman Dermatology, Skin Cancer Specialists PC & Aesthetics Center
- Dermatology Physician
- Marietta, GA
- NPI 1114022167
-
Dermatopathology Lab of Skin Cancer Specialists, P.C.
- Clinical Medical Laboratory
- Marietta, GA
- NPI 1083044465
Practice locations
- Marietta, GA2
- Cumming, GA2
- Columbus, GA1
- Cartersville, GA1
- Canton, GA1
- Buford, GA1
- Braselton, GA1
- Athens, GA1
- Acworth, GA1
- Dallas, GA1
- Flowery Branch, GA1
- Jasper, GA1
- Lawrenceville, GA1
- Rome, GA1
- Newnan, GA1
- Peachtree Corners, GA1
- Dawsonville, GA1
- Woodstock, GA1
- Smyrna, GA1
- Sandy Springs, GA1
- Roswell, GA1
Merit-based Incentive Payment System (MIPS)
Medicare Care Compare- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Clinicians 72
Clinicians who reassign their Medicare benefits to this group (72) or whom Care Compare lists as members (56).
-
Skylar Coppinger Ackerman, PA-C
- Physician Assistant
- Cartersville, GA
- NPI 1659132256
-
Ashley M Ades, PA-C
- Physician Assistant
- Marietta, GA
- NPI 1518207950
-
Erin A Barnett, PA-C
- Physician Assistant
- Marietta, GA
- NPI 1396817235
-
Maci Benveniste
- Medical Physician Assistant
- Roswell, GA
- NPI 1750270229
-
Seth Edward Bernacki, DO
- Dermatology Physician
- Georgetown, TX
- NPI 1528646775
-
Meera Brahmbhatt, M.D.
- Dermatopathology Physician
- Marietta, GA
- NPI 1750816716
-
Peyton Brouwer
- Physician Assistant
- Roswell, GA
- NPI 1164165353
-
Jennifer Louise Buckley, MD
- Dermatology Physician
- Marietta, GA
- NPI 1215908652
-
Mary Jansson Carmon, NP
- Family Nurse Practitioner
- Panama City, FL
- NPI 1558781534
-
Francesca Maria Ceci, MD
- Dermatology Physician
- Roswell, GA
- NPI 1225666431
-
Mark Alan Chastain, MD
- Dermatology Physician
- Marietta, GA
- NPI 1790756138
-
Kimberly Miller Connally, PA-C
- Physician Assistant
- Columbus, GA
- NPI 1487856092
-
Lynn D Cooper, MD
- Anatomic Pathology & Clinical Pathology Physician
- Marietta, GA
- NPI 1366658437
-
David Walton Crasto Jr., DO
- Dermatology Physician
- Biloxi, MS
- NPI 1043771306
-
Lori A Darrah, CNP
- Family Nurse Practitioner
- Troy, OH
- NPI 1699922914
-
Lauren Daugherty, MD
- Dermatology Physician
- Peachtree City, GA
- NPI 1538690474
-
Zachary Charles Fred Delconte, PA
- Physician Assistant
- Chapel Hill, NC
- NPI 1538824297
-
Avery Dinallo, DNP, APN, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1902328404
-
Kenzie Dittmar, PA
- Physician Assistant
- Dallas, GA
- NPI 1265228795
-
Rhea V Douglas, P.A.
- Medical Physician Assistant
- Decatur, GA
- NPI 1023247210
-
Alyssa Michelle Einstein, NP-C
- Nurse Practitioner
- Marietta, GA
- NPI 1417710286
-
Chloe Standridge Fernandez, DO
- Dermatology Physician
- Roswell, GA
- NPI 1912649690
-
Dorothy Rodenbeck Fernandez, MD
- Dermatology Physician
- Atlanta, GA
- NPI 1033572078
-
Lauren Michele Fisher, PA-C
- Physician Assistant
- Alpharetta, GA
- NPI 1093967648
-
Jacqueline Nicole Flandry, M.D.
- Dermatology Physician
- Columbus, GA
- NPI 1306089800
-
Alice Fair Franklin, PA-C
- Medical Physician Assistant
- Marietta, GA
- NPI 1346359585
-
Garrett D Freeman, PA-C
- Medical Physician Assistant
- Newnan, GA
- NPI 1598846719
-
Karin Layne Fuller, PA-C
- Physician Assistant
- Columbus, GA
- NPI 1225743495
-
Randi Goldstein
- Dermatology Physician
- Buford, GA
- NPI 1679100119
-
Amy Kay Goodman, PA-C
- Physician Assistant
- Marietta, GA
- NPI 1265865414
-
Marcus Brian Goodman, D.O.
- Dermatology Physician
- Roswell, GA
- NPI 1407075880
-
Yasmin Hadian
- Student in an Organized Health Care Education/Training Program
- Clinton, NC
- NPI 1073132338
-
Josh A Hammel, M.D.
- Dermatology Physician
- Roswell, GA
- NPI 1205123296
-
Heather Hensley, D.O.
- Dermatology Physician
- Tempe, AZ
- NPI 1124280953
-
Louis Jack Herskowitz, M.D.
- Dermatology Physician
- Austell, GA
- NPI 1972561819
-
Felicia Loren Hoffman, PA-C
- Medical Physician Assistant
- Roswell, GA
- NPI 1386824233
-
Lauren Elizabeth Howland, PA-C
- Physician Assistant
- Newnan, GA
- NPI 1356288849
-
Arthur T Hudson, PA-C
- Physician Assistant
- Marietta, GA
- NPI 1538433255
-
Matthew Preston Hughes, M.D
- Dermatology Physician
- Marietta, GA
- NPI 1215220454
-
Nedyalko Nedyalkov Ivanov, DO
- Dermatology Physician
- Roswell, GA
- NPI 1548827710
-
Zainab Jafri, DO
- Dermatology Physician
- Roswell, GA
- NPI 1861070104
-
Sarah Ann Jett, NP-C
- Nurse Practitioner
- Newnan, GA
- NPI 1790420123
-
Brandilyn Johnson, NP-C
- Nurse Practitioner
- Columbus, GA
- NPI 1578878658
-
Jennifer L Jones, M.D.
- Dermatology Physician
- Marietta, GA
- NPI 1114985108
-
Rachel Koller, FNP-C
- Nurse Practitioner
- Roswell, GA
- NPI 1821843079
-
Heather Kopecky
- Dermatology Physician
- Clearwater, FL
- NPI 1922566249
-
Namita M Kumar, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Alpharetta, GA
- NPI 1295934495
-
Dionne Denise Louis, MD
- Dermatology Physician
- Jonesboro, GA
- NPI 1891954459
-
Raquel Ludwig, PA
- Physician Assistant
- Roswell, GA
- NPI 1083909063
-
Hailey Rouhana Malone, M.D.
- Dermatology Physician
- Atlanta, GA
- NPI 1306232608
-
Natalie Ann Mercado, PA-C
- Medical Physician Assistant
- Dallas, GA
- NPI 1669779278
-
Julia Beadles Miller, PA-C
- Medical Physician Assistant
- Roswell, GA
- NPI 1194049759
-
Alexandra Palgon, PA-C
- Physician Assistant
- Marietta, GA
- NPI 1518262450
-
Keith Bradley Pennycook, DO
- Dermatology Physician
- Cumming, GA
- NPI 1821651944
-
Jonathan David Pewitt, M.D.
- Dermatology Physician
- Marietta, GA
- NPI 1912198979
-
Evelina N Pierce, M.D.
- Dermatology Physician
- Purchase, NY
- NPI 1053845594
-
Brittany Wheeler Renfroe, PA-C
- Physician Assistant
- Columbus, GA
- NPI 1346528536
-
Sarah E Riley, PA-C
- Physician Assistant
- Marietta, GA
- NPI 1790338762
-
Michael Warren Roberts, DO
- Dermatology Physician
- Venice, FL
- NPI 1710404082
-
Katherine Alice Rupley
- Dermatology Physician
- Atlanta, GA
- NPI 1134549199
-
Jenise Marie Santos, PA-C
- Physician Assistant
- Columbus, GA
- NPI 1760966535
-
Anita Kanithahalli Shetty, M.D.
- Dermatology Physician
- Marietta, GA
- NPI 1649477035
-
Carolyn M Sims, PA-C
- Medical Physician Assistant
- Marietta, GA
- NPI 1407957087
-
Carly Marie Singletary
- Physician Assistant
- Atlanta, GA
- NPI 1649835638
-
Laura Frances Smith, PA-C
- Physician Assistant
- Newnan, GA
- NPI 1649355025
-
Alexa Marie Thomas Deck, PA-C
- Medical Physician Assistant
- Atlanta, GA
- NPI 1750929295
-
Jordan Thompson, M.D.
- Dermatology Physician
- Marietta, GA
- NPI 1073049920
-
Megan Deanne Tracy
- Physician Assistant
- Roswell, GA
- NPI 1790273597
-
Tabitha Maya Transue, PA-C
- Physician Assistant
- Roswell, GA
- NPI 1689398232
-
Adam Patrick Vogt, M.D.
- Dermatopathology (Pathology) Physician
- Auburn, AL
- NPI 1205095346
-
Ashley Lyn Waldman, PA-C
- Physician Assistant
- Emeryville, CA
- NPI 1942500467
-
Lisa Gordon Weiss, PA-C
- Medical Physician Assistant
- Canton, GA
- NPI 1730570409
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.