Judah Norman Greenberg (NPI# 1124288790, PAC ID# 4587966924) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1124288790 |
| PAC ID by PECOS | 4587966924 |
| Professional Enrollment ID | I20170921000538 |
| Full Name | Judah Norman Greenberg |
| Organization Legal Name | SKIN CARE PHYSICIANS OF GEORGIA, P.C.. |
| Address |
3758 Hwy 45 S Suite 302 Locust Grove GA 30248-3653 |
| Phone Number | 4787422180 |
| Gender | M |
| Medical School | UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 7517850712 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 910 N 5th St, Cordele, GA 31015-3254 | 2292714652 | SKIN CARE PHYSICIANS OF GEORGIA, P.C.. |
| 3758 Hwy 45 S, Suite 302, Locust Grove, GA 30248-3653 | 4787422180 | SKIN CARE PHYSICIANS OF GEORGIA, P.C.. |
| 840 W Thomas St, Milledgeville, GA 31061-2674 | 4787422180 | SKIN CARE PHYSICIANS OF GEORGIA, P.C.. |
| 116 Tommy Stalnaker Dr A, Warner Robins, GA 31088-8983 | 4789531999 | SKIN CARE PHYSICIANS OF GEORGIA, P.C.. |
| Organization Legal Name | SKIN CARE PHYSICIANS OF GEORGIA, P.C.. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vickie M Brown | Dermatology | Skin Care Physicians of Georgia, P.C.. | 840 W Thomas St, Milledgeville, GA 31061-2674 |
| David Elliott Kent | Dermatology | Skin Care Physicians of Georgia, P.C.. | 116 Tommy Stalnaker Dr A, Warner Robins, GA 31088-8983 |
| Brooke Mcarthur | Physician Assistant | Skin Care Physicians of Georgia, P.C.. | 910 N 5th St, Cordele, GA 31015-3254 |
| Kelsi L Dixon | Nurse Practitioner | Skin Care Physicians of Georgia, P.C.. | 3758 Hwy 45 S, Suite 302, Locust Grove, GA 30248-3653 |
| David Jay Cohen | Dermatology | Skin Care Physicians of Georgia, P.C.. | 116 Tommy Stalnaker Dr A, Warner Robins, GA 31088-8983 |
| Kyle M Miller | Physician Assistant | Skin Care Physicians of Georgia, P.C.. | 910 N 5th St, Cordele, GA 31015-3254 |
| Chad A Perry | Physician Assistant | Skin Care Physicians of Georgia, P.C.. | 910 N 5th St, Cordele, GA 31015-3254 |
| Donna D Shuler | Physician Assistant | Skin Care Physicians of Georgia, P.C.. | 3758 Hwy 45 S, Suite 302, Locust Grove, GA 30248-3653 |
| Jason Michael Cheyney | Physician Assistant | Skin Care Physicians of Georgia, P.C.. | 910 N 5th St, Cordele, GA 31015-3254 |
| Street Address |
3758 HWY 45 S SUITE 302 |
| City | LOCUST GROVE |
| State | GA |
| Zip | 30248-3653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsi L Dixon | Nurse Practitioner | Skin Care Physicians of Georgia, P.C.. | 3758 Hwy 45 S, Suite 302, Locust Grove, GA 30248-3653 |
| Donna D Shuler | Physician Assistant | Skin Care Physicians of Georgia, P.C.. | 3758 Hwy 45 S, Suite 302, Locust Grove, GA 30248-3653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Althea Dimaculangan | Nurse Practitioner | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
| Lorie N Johnson | Obstetrics/gynecology | 3976 Hwy 42 S, Locust Grove, GA 30248 | |
| Nimisha Trivedi | Family Medicine | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
| Remonne Joseph | Nurse Practitioner | Locust Grove Family Medicine | 3778 Hwy 42, Locust Grove, GA 30248 |
| Laura M Trice | Nurse Practitioner | Health Services of Central Georgia | 4600 Bill Gardner Pkwy, Suite 200, Locust Grove, GA 30248-2427 |
| Cody James Hartley | Physical Therapy | Independent Physical Therapy of Georgia, LLC | 4959 Bill Gardner Pkwy, Suite 109, Locust Grove, GA 30248-2915 |
| Jameson A Estes | Family Medicine | Venture Medical Associates LLC | 3334 Hwy 155 A, Locust Grove, GA 30248-3513 |
| Janella L Thomas Burse | Obstetrics/gynecology | Better Health Greater Life LLC | 3334 Hwy 155, Suite B, Locust Grove, GA 30248-3513 |
| Jean R Ferdinand | Family Medicine | Venture Medical Associates LLC | 3334 Hwy 155 A, Locust Grove, GA 30248-3513 |
| Alecia R Lovelady | Obstetrics/gynecology | Better Health Greater Life LLC | 3334 Hwy 155, Suite B, Locust Grove, GA 30248-3513 |
| Find all physicians in zip 30248 | |||
| City | LOCUST GROVE |
| Zip Code | 30248 |
| Specialty | DERMATOLOGY |
| City + Specialty | LOCUST GROVE + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.