DermatologistIndex

Modern Dermatology Atlanta

Dermatology practice in Dunwoody, GA

Registered providerLicense # listed (GA)

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Public-record details

Address
5696 Whitehall Walk, Dunwoody, GA 30338
Phone
(423) 280-2594
Listed under
Practices and organizations
NPI
1164947115
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Dermatology (207N00000X)
License number on NPI record
57104 (GA)
Authorized official
Naga Meduri, MD, Owner
NPI first issued
Aug 11, 2017
Years since NPI first issued
9 years (since 2017)
License state on NPI record
GA
NPI record last updated
Aug 11, 2017

NPI 1164947115 is active in the federal NPPES registry (CMS) with Dermatology as its self-reported primary taxonomy; license 57104 (GA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Dermatologist Index does not vet, employ, recommend or guarantee dermatology practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Dermatologist Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. A registered specialty is not board certification. To check board certification, use the American Board of Dermatology's verification tool (or the American Osteopathic Board of Dermatology for DOs), and confirm the medical license with the state board.

View NPI 1164947115 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Dermatology or the American Osteopathic Board of Dermatology. Ask whether the practice takes your insurance or Medicare plan before you book.