Georgia Dermatology & Skin Cancer Center, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC

Practice address

2110 Woodside Executive Court
Aiken, SC 29803-3809

Phone

(803) 644-8900

Fax

(803) 644-8995

NPI assigned

May 14, 2019

Organization subpart

No

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

Authorized official

Name

Michael J Sharkey, MDNPI 1417941964

Title

President

Phone

(478) 275-7202

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael John Sharkey, MD

  • Dermatology Physician
  • Dublin, GA
  • NPI 1417941964
  NPD Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1427614577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE #21-A",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212890",
            "telephone_number": "478-328-0281",
            "fax_number": "478-328-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 WOODSIDE EXECUTIVE COURT",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298033809",
            "telephone_number": "803-644-8900",
            "fax_number": "803-644-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "SHARKEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-275-7202",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Sarita Gay
• Gears of Change LLC
• Anne Wishart Geddes, APN
• George Sich III, DPM, LLC
• Lauren Snyder George, PA-C
• Georgia Gastroenterology,LLC.
• Gerald Gordon, MD, Facp, LLC
• John Julius Gerideau III, LMT, MLD
• Erika Gerwe, M.S.
• Riley Gettis Jr.

• Dermatology Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.