Organization Active NPI

Woodstock Dermatolgy, PC

  • Specialist
  • Woodstock, GA
National Provider Identifier
1063422251
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32512 Issued in GA
Legal business name
WOODSTOCK DERMATOLGY, PC
Practice address
300 Parkbrooke PL
Suite 360
Woodstock, GA 30189-7209
Phone
(770) 924-2573
Fax
(770) 924-2534
NPI assigned
Aug 9, 2006
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Arasi, MDNPI 1447420971
Title
President
Phone
(770) 924-2573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32512 GA Primary

Addresses

Primary practice location

300 Parkbrooke PL
Suite 360
Woodstock, GA 30189-7209

Mailing address

300 Parkbrooke PL Ste 360
Woodstock, GA 30189-7280
Phone (770) 924-2573

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080318000510 GA Part B Supplier - Clinic/Group Practice 9335225259 Receives reassigned benefits from 3 practitioners
Practice locations: Woodstock, GA

National Provider Directory

National Provider Directory

Locations

300 Parkbrooke Pl
Ste 360
Woodstock, GA 30189
Phone (770) 924-2573

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1063422251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PARKBROOKE PL STE 360",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897280",
            "telephone_number": "770-924-2573",
            "fax_number": "770-924-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PARKBROOKE PL",
            "address_2": "SUITE 360",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897209",
            "telephone_number": "770-924-2573",
            "fax_number": "770-924-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK DERMATOLGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "ARASI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-924-2573",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "32512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.