GEORGIA DERMATOLOGIC SURGERY CENTER, PC
NPI 1720100522
Dermatology - MOHS-Micrographic Surgery in Atlanta, GA

NPI Status: Active since April 04, 2007

Contact Information

5555 PEACHTREE DUNWOODY RD NE
SUITE G65
ATLANTA, GA
ZIP 30342
Phone: (404) 943-1996
Fax: (404) 943-9464

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery

About GEORGIA DERMATOLOGIC SURGERY CENTER, PC

This page provides the complete NPI Profile along with additional information for Georgia Dermatologic Surgery Center, Pc, a provider established in Atlanta, Georgia operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1720100522 assigned on April 2007. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mark Francis Baucom M.d. (President)

NPI
1720100522
Provider Name
GEORGIA DERMATOLOGIC SURGERY CENTER, PC
Entity Type
Organization
Location Address
5555 PEACHTREE DUNWOODY RD NE SUITE G65 ATLANTA, GA 30342
Location Phone
(404) 943-1996
Location Fax
(404) 943-9464
Mailing Address
5555 PEACHTREE DUNWOODY RD NE SUITE G65 ATLANTA, GA 30342
Mailing Phone
(404) 943-1996
Mailing Fax
(404) 943-9464
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
01-05-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK FRANCIS BAUCOM M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(404) 943-1996

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GRP3989MEDICARE ID-TYPE UNSPECIFIED (04)GAGROUP NUMBER FOR MEDICARE

Reviews for GEORGIA DERMATOLOGIC SURGERY CENTER, PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720100522
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274020054
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 0 + 0 + 5 + 4 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1720100522 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114924073DR. MATTHEW M RICHARDSON M.D.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)5555 PEACHTREE DUNWOODY RD NE SUITE G-99
ATLANTA, GA 30342
(404) 843-3323
1780675785MR. STUART JAY COHEN MED EDS
Individual
Counselor5555 PEACHTREE DUNWOODY RD NE SUITE 330
ATLANTA, GA 30342
(404) 843-0660
1942285168PEACHTREE SPINE & PAIN PHYSICIANS ASC, LLC
Organization
Clinic/Center (Ambulatory Surgical)5555 PEACHTREE DUNWOODY RD NE SUITE G-99
ATLANTA, GA 30342
(404) 843-3323
1972581130DR. CAROLE MARIE DEAN MD
Individual
Otolaryngology5555 PEACHTREE DUNWOODY RD NE SUITE 256
ATLANTA, GA 30342
(404) 252-7557
1548231400 GLEN L NADEL M.D.
Individual
Allergy & Immunology5555 PEACHTREE DUNWOODY RD NE
ATLANTA, GA 30342
(404) 255-9286
1871564716 PAUL S RABINOWITZ M.D.
Individual
Allergy & Immunology5555 PEACHTREE DUNWOODY RD NE
ATLANTA, GA 30342
(404) 255-9286
1477524312 MARK D LIVEZEY M.D., PH.D.
Individual
Allergy & Immunology5555 PEACHTREE DUNWOODY RD NE
ATLANTA, GA 30342
(404) 255-9286
1104881861DR. ROBERT M FRYER DDS
Individual
Dentist (Oral and Maxillofacial Pathology)5555 PEACHTREE DUNWOODY RD NE SUITE G56
ATLANTA, GA 30342
(404) 252-5626
1831157098NORTH ATLANTA ENDOSCOPY CENTER LP
Organization
Clinic/Center (Ambulatory Surgical)5555 PEACHTREE DUNWOODY RD NE SUITE G-70
ATLANTA, GA 30342
(404) 843-0500
1285678532GEORGIA COLON & RECTALL SURGICAL ASSOCIATES PC
Organization
Colon & Rectal Surgery5555 PEACHTREE DUNWOODY RD NE SUITE 206
ATLANTA, GA 30342
(404) 851-1336
1982636379 MARIA TOLCHER NPC
Individual
Nurse Practitioner5555 PEACHTREE DUNWOODY RD NE SUITE 201
ATLANTA, GA 30342
(404) 843-3323
1598781023DR. DAVID B. ADAMS PH.D.
Individual
Psychologist (Clinical)5555 PEACHTREE DUNWOODY RD NE SUITE 251
ATLANTA, GA 30342
(404) 252-6454
1982623344DR. KENNETH ALAN MURPHY D.D.S.
Individual
Dentist (General Practice)5555 PEACHTREE DUNWOODY RD NE SUITE 255 THE MEDICAL QUARTERS
ATLANTA, GA 30342
(404) 255-8555
1861577157DR. GREGORY SCOTT MILLER D.D.S.
Individual
Dentist (Periodontics)5555 PEACHTREE DUNWOODY RD NE SUITE G-73
ATLANTA, GA 30342
(404) 255-9511
1386720555 CEANA NEZHAT MD
Individual
Obstetrics & Gynecology (Gynecology)5555 PEACHTREE DUNWOODY RD NE SUITE 276
ATLANTA, GA 30342
(404) 255-8778
1922185347DR. JAMES LEE MASON M. D.
Individual
Psychiatry & Neurology (Psychiatry)5555 PEACHTREE DUNWOODY RD NE SUITE 130
ATLANTA, GA 30342
(404) 843-9086
1669523874 JOE B GILETTO M.D.
Individual
Otolaryngology5555 PEACHTREE DUNWOODY RD NE SUITE 125
ATLANTA, GA 30342
(404) 255-2918
1699810051DR. WILLIAM HAROLD ROUSSEAU D.M.D.
Individual
Dentist (Endodontics)5555 PEACHTREE DUNWOODY RD NE SUITE 349
ATLANTA, GA 30342
(404) 255-0220
1801922463DR. MAURICE J FAGAN III M.S., DMD
Individual
Dentist (General Practice)5555 PEACHTREE DUNWOODY RD NE SUITE 140
ATLANTA, GA 30342
(404) 255-5006
1851416143DR. THOMAS C JAGOR D.D.S.
Individual
Dentist (General Practice)5555 PEACHTREE DUNWOODY RD NE SUITE G-90
ATLANTA, GA 30342
(404) 256-2551

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720100522, enumerated in the NPI registry as an "organization" on April 04, 2007

The provider is located at 5555 Peachtree Dunwoody Rd Ne Suite G65 Atlanta, Ga 30342 and the phone number is (404) 943-1996

This medical organization specializes in Dermatology with taxonomy code 207ND0101X with a focus in MOHS-Micrographic Surgery

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 04, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.