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

Constance Ediale, MD

Individual provider Dermatology Physician · NPI 1720666886

Constance Ediale, MD is a Dermatology in Atlanta, Georgia. Graduated from Medical College of Georgia School of Medicine in 2021, 5 years ago. Practices with Forefront Dermatology SC, a 645-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5505 Peachtree Dunwoody Rd Ste 412
Atlanta, GA 30342-1758
Phone: (404) 459-9177
Fax: (404) 389-0400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 105072 (GA)

Record details

NPI number1720666886
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2021
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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