Judah Norman Greenberg, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

66948 Issued in GA

Practice address

540 Charter Blvd Ste 200
Macon, GA 31210-4893

Phone

(706) 543-5858

Fax

(706) 543-2050

NPI assigned

Jun 16, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Perelman School of Med at the University of Pennsylvania, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Skin Cancer and Aestheitic Dermatology, LLCGroup PAC ID 0244328649, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia Skin Cancer & Aestheitic Dermatology, LLC

  • Dermatology Physician
  • Watkinsville, GA
  • NPI 1205026168
  Medicare reassignment Care Compare group NPD
• Georgia Dermatology Specialists PC

  • Specialist
  • Atlanta, GA
  • NPI 1558380527
  Medicare reassignment NPD
• Gwinnett Dermatology PC D/B/a Georgia Dermatology Partners

  • Dermatology Physician
  • Snellville, GA
  • NPI 1477596203
  Medicare reassignment NPD
• Skin Care Physicians of Georgia, P.C.

  • Dermatology Physician
  • Macon, GA
  • NPI 1346351582
  Medicare reassignment
• Skin Diagnostics Group, PC

  • Clinical Medical Laboratory
  • Homewood, AL
  • NPI 1689922668
  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1124288790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 RESURGENCE DR STE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777211",
            "telephone_number": "706-543-5858",
            "fax_number": "706-543-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CHARTER BLVD STE 200",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104893",
            "telephone_number": "706-543-5858",
            "fax_number": "706-543-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JUDAH",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "66948",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "66948",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528902170",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clyde O. Green, MD
• Kimberly Dainelle Green
• Maureen Green, NP
• Melissa V. Green, M.S.
• Ted Adam Green, RPH
• Joannie W Greene, CRNA
• Lawanda Greene, NP
• Linda Norman Greene
• Shannon Greene
• Zenobia Greene

• MOHS-Micrographic Surgery Physician in Macon, GA
• Providers in Macon, GA by specialty
• MOHS-Micrographic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.