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

Jonathan David Pewitt, MD

Individual provider Dermatology Physician · NPI 1912198979

Jonathan David Pewitt, MD is a Dermatology in Marietta, Georgia. Graduated from East Tennessee State University Quillen College of Medicine in 2007, 19 years ago. Practices with Aqua Dermatology of Georgia PC, a 56-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
GA
In the registry since
2007
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 Ste 100
Marietta, GA 30060-1008
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 065413 (GA)

Record details

NPI number1912198979
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 6, 2007
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address835 Cogburn Avenue, Suite 250, Marietta, GA 30060-1010

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Aqua Dermatology Of Georgia Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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