Darryl S Hodson (NPI# 1871583351, PAC ID# 4880770213) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1871583351 |
| PAC ID by PECOS | 4880770213 |
| Professional Enrollment ID | I20090804000707 |
| Full Name | Darryl S Hodson |
| Organization Legal Name | GEORGIA DERMATOLOGY AND SKIN CANCER CENTER, LLC |
| Address |
1349 Milstead Rd Ne Conyers GA 30012-3871 |
| Phone Number | 7709221716 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | GENERAL PRACTICE, PATHOLOGY |
| Group Practice PAC ID | 7113980855 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110095 | TIFT REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1349 Milstead Rd Ne, Conyers, GA 30012-3871 | 7709221716 | GEORGIA DERMATOLOGY AND SKIN CANCER CENTER, LLC |
| 1157 Forsyth St, Macon, GA 31201-7452 | 4787458581 | GEORGIA DERMATOLOGY AND SKIN CANCER CENTER, LLC |
| 1006 Greenfield Dr, Tifton, GA 31794-3794 | 2293869333 | GEORGIA DERMATOLOGY AND SKIN CANCER CENTER, LLC |
| Organization Legal Name | GEORGIA DERMATOLOGY AND SKIN CANCER CENTER, LLC |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shanda D Carter | Nurse Practitioner | Georgia Dermatology and Skin Cancer Center, LLC | 1157 Forsyth St, Macon, GA 31201-7452 |
| John S Peters | Dermatology | Georgia Dermatology and Skin Cancer Center, LLC | 631 E Forsyth St, Americus, GA 31709-3716 |
| Lauren Eckert Ploch | Dermatology | Georgia Dermatology and Skin Cancer Center, LLC | 2283 Wrightsboro Rd, Augusta, GA 30904-4717 |
| Brandon N Rowland | Physician Assistant | Georgia Dermatology and Skin Cancer Center, LLC | 1161 Saralyn Ln A, Statesboro, GA 30461-7993 |
| Lori B Schaen | Dermatology | Georgia Dermatology and Skin Cancer Center, LLC | 656 S 8th St, Griffin, GA 30224-4214 |
| Allen B Filstein | Dermatology | Georgia Dermatology and Skin Cancer Center, LLC | 1349 Milstead Rd Ne, Conyers, GA 30012-3871 |
| Charles R Harris | Dermatology | Georgia Dermatology and Skin Cancer Center, LLC | 101 Martin Luther King Jr Dr, Forsyth, GA 31029-1698 |
| James B Lekas | Physician Assistant | Georgia Dermatology and Skin Cancer Center, LLC | 230 N Jefferson St, Milledgeville, GA 31061-3418 |
| John R Cook | Dermatology | Georgia Dermatology and Skin Cancer Center, LLC | 2110 Woodside Executive Ct, Aiken, SC 29803-3809 |
| Tamika L Chester | Nurse Practitioner | Georgia Dermatology and Skin Cancer Center, LLC | 1157 Forsyth St, Macon, GA 31201-7452 |
| Street Address |
1349 MILSTEAD RD NE |
| City | CONYERS |
| State | GA |
| Zip | 30012-3871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen B Filstein | Dermatology | Georgia Dermatology and Skin Cancer Center, LLC | 1349 Milstead Rd Ne, Conyers, GA 30012-3871 |
| Jason Glen Arnold | Dermatology | Georgia Dermatology and Skin Cancer Center, LLC | 1349 Milstead Rd Ne, Conyers, GA 30012-3871 |
| John A Fountain | Dermatology | Georgia Dermatology and Skin Cancer Center, LLC | 1349 Milstead Rd Ne, Conyers, GA 30012-3871 |
| Katherine R Simmon | Physician Assistant | Georgia Dermatology and Skin Cancer Center, LLC | 1349 Milstead Rd Ne, Conyers, GA 30012-3871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven T Wilder | Chiropractic | 1091 W Ave Sw, Conyers, GA 30012 | |
| Sitharam Chowdary Nandigam | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Ekundayo A Falase | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Yilikal Tassew Kassa | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Nardos Ketema Belayneh | Nephrology | Eastside Premier Nephrology and Hypertension PC | 1612 Milstead Rd, Suite A, Conyers, GA 30012-3738 |
| Neil A Trossevin | Physician Assistant | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Allen A Futral | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Bert T Chen | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Froylan C Gonzales | Urology | Georgia Urology, Pa | 1301 Sigman Rd Ne, Suite 250a, Conyers, GA 30012-3812 |
| Kisha Adderley | Nurse Practitioner | Rockdale Physician Practices LLC | 1301 Sigman Rd Ne, Suite 125, Conyers, GA 30012-3812 |
| Find all physicians in zip 30012 | |||
| City | CONYERS |
| Zip Code | 30012 |
| Specialty | DERMATOLOGY |
| City + Specialty | CONYERS + DERMATOLOGY |
Please comment or provide details below to improve the information on Darryl S Hodson.
| 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.