Supriya Immaneni, MD
Supriya Immaneni, MD is a Micrographic Dermatologic Surgery (Mds) in Macon, Georgia. Graduated from Northwestern University Feinberg Medical School in 2019, 7 years ago. Practices with Georgia Dermatology Specialists PC, a 16-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 7
- Trained at
- Northwestern University Feinberg Medical School
- Licensed in
- GA
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
308 Coliseum Dr St 200Macon, GA 31217-3865
Phone: (478) 742-2180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 95284 (GA) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 95284 (GA) |
Record details
| NPI number | 1497129399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | November 17, 2015 |
| Last updated in NPPES | January 13, 2026 |
| Certification date | January 13, 2026 |
| Mailing address | 308 Coliseum Dr, St 200, Macon, GA 31217-3865 |
Medicare enrollment
| Medicare specialty | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
|---|---|
| Also practises | DERMATOLOGY |
| Medical school | NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL |
| Graduated | 2019 (7 years in practice) |
| Group practice | Georgia Dermatology Specialists Pc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Macon
-
Billie L. Jackson, MD, LLC
440 Charter Blvd Ste 2201, Macon, GA 31210-0724 · (478) 477-5575
-
David J Cohen, MD
308 Coliseum Dr Ste 200, Macon, GA 31217-3876 · (478) 742-2180
-
Georgia Dermatology &skin Cancer Center, PC
1157 Forsyth St, Macon, GA 31201-7452 · (478) 328-1433
-
Virginia Childs Hall, MD
520 Charter Blvd Ste 100, Macon, GA 31210-4871 · (478) 477-6700
-
Billie Luke Jackson, MD
440 Charter Blvd Ste 2201, Macon, GA 31210-4857 · (478) 477-5575
-
David E Kent, MD
308 Coliseum Dr Ste 200, Macon, GA 31217-3876 · (478) 742-2180
-
Skin Care Physicians of Georgia, PC
308 Coliseum Dr Ste 200, Macon, GA 31217-3861 · (478) 742-2180