Individual provider Active NPI

David S Lockman, MD

  • Dermatology Physician
  • Athens, GA
National Provider Identifier
1184619587
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
018041 Issued in GA
Practice address
728 Cobb St
Athens, GA 30606-2942
Phone
(706) 548-3019
Fax
(706) 543-4439
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 018041 GA Primary

Addresses

Primary practice location

728 Cobb St
Athens, GA 30606-2942

Mailing address

728 Cobb St
Athens, GA 30606-2942
Phone (706) 548-3019

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110127000779 GA Practitioner - Internal MedicinePractitioner - Dermatology 3870524325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
018041GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Athens Primary Care LLC CurrentSince Dec 29, 2025 Accepting new patients
Dermatology Specialists of Georgia, LLC Dermatology CurrentSince Jun 22, 2021 Accepting new patients

Locations

2505 Harrison Ave
Panama City, FL 32405
Phone 85023333762619

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

2142 W Broad St
Bldg 200
Athens, GA 30606
Phone (706) 548-6881

1270 Prince Ave
Ste 201
Athens, GA 30606
Phone (470) 271-3427

728 Cobb St
Athens, GA 30606
Phone (706) 548-3019

1605 Whitesville St
Lagrange, GA 30240
Phone (706) 548-3019

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184619587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 COBB ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062942",
            "telephone_number": "706-548-3019",
            "fax_number": "706-543-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 COBB ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062942",
            "telephone_number": "706-548-3019",
            "fax_number": "706-543-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKMAN",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "018041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.