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

Dr. Jennifer Louise Buckley, MD

Individual provider Dermatology Physician · NPI 1215908652

Dr. Jennifer Louise Buckley, MD is a Dermatology in Marietta, Georgia. Graduated from Tulane University School of Medicine in 1998, 28 years ago. Practices with Aqua Dermatology of Georgia PC, a 56-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
28
Trained at
Tulane University School of Medicine
Licensed in
GA
In the registry since
2006
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

835 Cogburn Ave NW Ste 100
Marietta, GA 30060-1031
Phone: (770) 422-5557
Fax: (770) 422-5456
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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 051441 (GA)

Record details

NPI number1215908652
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2006
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Aqua Dermatology Of Georgia Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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