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Deactivated NPI 1811981368 Deactivated / Inactive NPI Male Practitioner

Dr. John A Broyles , MD

Dermatology • Macon, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Broyles has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 09, 2005
NPI Deactivation Date September 18, 2025
Total Practice Duration ~20 Years of Practice (2005 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Broyles, MD was a registered Dermatology practicing in Macon, GA. Throughout an active medical career spanning 20 years, Dr. Broyles provided care at the practice location at 1157 FORSYTH ST until profile deactivation on 2025-09-18.

Practice Location & Contact Primary Location

Practice Address

1157 Forsyth St

Macon, GA 312017452

Telephone 4787458581
Fax 4783280438
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 38.2 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Macon, GA (364 Statewide)

Telehealth Adoption Rate
28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License GA 013257

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
James Lekas , PA-C

Physician Assistant

NPI 1043205388

Physician Assistant (Certified)

Tamika Chester , NP

Nurse Practitioner

NPI 1053770669

Nurse Practitioner

Dr. Michael Palko , MD

Pathology - Dermatopathology

NPI 1093797144

Doctor of Medicine (M.D.)

PHYSICIANSASSISTANT

Delano Parker , PA-C

Physician Assistant

NPI 1275591828

Physician Assistant (Certified)

NPI 1316931017

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated September 18, 2025

Record deactivated on September 18, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2025

Dermatology (License #013257 in GA)

NPI Profile Active April 22, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 22, 2015

Registered at 1157 FORSYTH ST, MACON, GA 312017452 (Tel: 4787458581)

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Updated Business Mailing Address April 22, 2015

Registered at 2400 BELLEVUE RD, SUITE 21-A, DUBLIN, GA 310212885 (Tel: 4782757202)

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Provider Name / Credentials Updated April 22, 2015

Recorded as JOHN BROYLES, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2015

Dermatology (License #013257 in GA)

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Initial NPI Registration & Enumeration September 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811981368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2005
Last Update: April 22, 2015
Deactivation Date: September 18, 2025

Mailing Address

2400 Bellevue Rd, Suite 21-A

Dublin, GA 310212885

Phone: 4782757202

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.