Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Luis Alberto Gomez Vaca, MD

Individual provider Dermatology Physician · NPI 1902197064

Dr. Luis Alberto Gomez Vaca, MD is a Family Practice in Dalton, Georgia. Qualified in 2006, 20 years ago. Practices with Fpsc PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia and Indiana.

Years since qualifying
20
Licensed in
GA, IN
In the registry since
2011
Specialties on file
2
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

1107 Memorial Dr Ste 201
Dalton, GA 30720-8662
Phone: (706) 277-7311
Fax: (706) 272-3512
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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 71695 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 11016108A (IN)

Record details

NPI number1902197064
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2011
Last updated in NPPESNovember 27, 2023
Certification dateApril 29, 2020

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesDERMATOLOGY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Fpsc Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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