Dermatology, MOHS-Micrographic Surgery
SUPRIYA IMMANENI MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1497129399 · enumerated 2015-11-17 · record updated 2026-01-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 308 COLISEUM DR, ST 200, MACON, GA, 31217-3865 (478) 742-2180 Google Maps Apple Maps OpenStreetMap
- Mailing address 308 COLISEUM DR, ST 200, MACON, GA, 31217-3865 (478) 742-2180 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · License 95284 GA
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · Primary · License 95284 GA
In this directory
GA Jones County Macon Dermatology, MOHS-Micrographic Surgery
Locations and evidence
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Practice location
MACON, GA, 312173865
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.