Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Georgia Dermatology & Skin Surgery Center PC

Organization Procedural Dermatology Physician · NPI 1467641381

Northwest Georgia Dermatology & Skin Surgery Center PC is a Procedural Dermatology Physician in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 John Maddox Dr NW
Rome, GA 30165-1419
Phone: (706) 235-7711
Fax: (706) 235-9944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X · Licence 032302 (GA)

Record details

NPI number1467641381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Smith — Owner/President · (706) 235-7711
NPI enumeratedOctober 16, 2007
Last updated in NPPESOctober 19, 2011
Mailing address103 John Maddox Dr Nw, Rome, GA 30165-1419

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