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

Jonathan Barak Fass, MD

Individual provider Dermatology Physician · NPI 1104821917

Jonathan Barak Fass, MD is a Dermatology Physician in Greensboro, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1000 Cowles Clinic Way Ste 100
Greensboro, GA 30642-5285
Phone: (706) 543-5858
Fax: (706) 543-2050
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 046089 (GA)

Record details

NPI number1104821917
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2005
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024