NPI

Georgia Skin Cancer & Aestheitic Dermatology, LLC

NPI 1205026168

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-07-26
Last updated
2019-10-02

Run it in Rivvi

Check your whole roster against NPI.

Deactivated, mismatched or missing NPIs across every provider, each with the fix. The kind that get claims denied.

Check the roster

Free to start. Opens Rivvi, the AI workspace for healthcare teams.

Is this you? Set up your practice's workspace from this NPI.

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1180 Resurgence Dr Ste 100
City
Watkinsville GA
Postal code
30677-7211
Phone
(706) 543-5858

Organization contact

Name
Ross Campbell
Title
Owner
Phone
(706) 543-5858

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

Check this NPI on the exclusion page

OIG exclusion search

Nearby

Other NPIs in Watkinsville, GA. 951 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

Update a record in NPPES

Request removal of this page

This removes the page from rivvi.ai. It does not change the record in NPPES.

Try it on your own data today.

Free to start. Most teams are using it the same day.