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

Dr. Nedyalko Nedyalkov Ivanov, DO

Individual provider Dermatology Physician · NPI 1548827710

Dr. Nedyalko Nedyalkov Ivanov, DO is a Dermatology in Roswell, Georgia. Graduated from Ohio University, College of Osteopathic Medicine in 2019, 7 years ago. Practices with Aqua Dermatology of Georgia PC, a 56-clinician group and accepts Medicare assignment. Licensed in Florida, Georgia and Michigan.

Years since qualifying
7
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
FL, GA, MI
In the registry since
2019
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2500 Hospital Blvd Ste 280
Roswell, GA 30076-4918
Phone: (770) 754-0787
Fax: (770) 755-5890
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 98733 (GA)
Dermatology Physician Taxonomy 207N00000X · Licence 5101026012 (MI)
Dermatology Physician Taxonomy 207N00000X · Licence 15530 (GA)
Dermatology Physician Taxonomy 207N00000X · Licence 20723 (FL)

Record details

NPI number1548827710
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Aqua Dermatology Of Georgia Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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