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
- 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
110 Stone Brooke Dr
Gray, GA 31032
Phone (478) 621-2100
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
1210 Commerce Dr
Ste 113
Greensboro, GA 30642
678 S 8TH St
Griffin, GA 30224
Phone (229) 271-4652
330 Hospital Dr
Bldg C
Macon, GA 31217
Phone (478) 742-2180
308 Coliseum Dr
Ste 200
Macon, GA 31217
Phone (478) 314-0784
840 W Thomas St
Milledgeville, GA 31061
Phone (478) 453-2700
804 W Thomas St
Milledgeville, GA 31061
907 18th St E
Ste 310
Tifton, GA 31794
116 Tommy Stalnaker Dr
Ste 3A
Warner Robins, GA 31088
116 Tommy Stalnaker Dr
Ste 3
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.
-
- 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 1386315232
-
- 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
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": "193400000X SINGLE SPECIALTY 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.