Active NPI
Skin Care Physicians of Georgia, P.C.
- Dermatology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SKIN CARE PHYSICIANS OF GEORGIA, P.C.
- Practice address
- 308 Coliseum Dr Ste 200
Macon, GA 31217-3861 - Phone
- (478) 742-2180
- Fax
- (478) 745-2623
- NPI assigned
- Aug 31, 2006
- Last updated
- Aug 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Davud B Kent, M.D.
- Title
- Owner, Sr Physician, Ceo
- Phone
- (478) 742-2180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
308 Coliseum Dr Ste 200
Macon, GA 31217-3861
Mailing address
308 Coliseum Dr Ste 200
Macon, GA 31217-3861
Phone (478) 742-2180
Other names 1
- Dermatologic Surgery Specialists, P.C.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0697595 | Skin Care Physicians of Georgia | Compliance | Aug 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
906 N 5th St
Ste D45
Cordele, GA 31015
Phone (912) 276-0972
102 N Lee St
Forsyth, GA 31029
1210 Commerce Dr
Greensboro, GA 30642
1210 Commerce Dr
Ste 113
Greensboro, GA 30642
1210 Commerce Dr
Ste 113114
Greensboro, GA 30642
Phone (478) 742-2180
1210 Commerce Dr
Ste 113114CE
Greensboro, GA 30642
1210 Commerce Dr
Ste 114
Greensboro, GA 30642
678 S 8TH St
Griffin, GA 30224
Phone (229) 271-4652
308 Coliseum Dr
Ste 200
Macon, GA 31217
Phone (478) 314-0784
520 Charter Blvd
Ste 100
Macon, GA 31210
Phone (478) 477-6700
804 W Thomas St
Milledgeville, GA 31061
907 18th St E
Ste 310
Tifton, GA 31794
116 Tommy Stalnaker Dr
Ste 3
Warner Robins, GA 31088
116 Tommy Stalnaker Dr
Ste 3A
Warner Robins, GA 31088
Practitioners & affiliated clinicians
Practitioners 32
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.
-
- Dermatology Physician
- Milledgeville, GA
- NPI 1952398273
-
- Dermatology Physician
- Macon, GA
- NPI 1487652020
-
- MOHS-Micrographic Surgery Physician
- Macon, GA
- NPI 1881127587
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1578943395
-
- Dermatology Physician
- Macon, GA
- NPI 1922160811
-
- Physician Assistant
- Macon, GA
- NPI 1861176273
-
- Physician Assistant
- Macon, GA
- NPI 1942207840
-
- Family Nurse Practitioner
- Greensboro, GA
- NPI 1013246958
-
- Physician Assistant
- Macon, GA
- NPI 1245061399
-
- Physician Assistant
- Macon, GA
- NPI 1386315232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533168000000",
"number": "1346351582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 COLISEUM DR STE 200",
"city": "MACON",
"state": "GA",
"postal_code": "312173861",
"telephone_number": "478-742-2180",
"fax_number": "478-745-2623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 COLISEUM DR STE 200",
"city": "MACON",
"state": "GA",
"postal_code": "312173861",
"telephone_number": "478-742-2180",
"fax_number": "478-745-2623"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN CARE PHYSICIANS OF GEORGIA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2018-08-02",
"status": "A",
"authorized_official_last_name": "KENT",
"authorized_official_first_name": "DAVUD",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER, SR PHYSICIAN, CEO",
"authorized_official_telephone_number": "478-742-2180",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dermatologic Surgery Specialists, P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.