ASC OF BAUCOM & MINA DERM SURGERY JOHNS CREEK LLC
NPI 1013601517
Clinic/Center - Ambulatory Surgical in Johns Creek, GA

Q: What is ASC Of Baucom & Mina Derm Surgery Johns Creek LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 07, 2023

10750 MEDLOCK BRIDGE RD STE 102, JOHNS CREEK, GA 30097(470) 545-2124(404) 844-0499 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 13, 2023, Jun 7, 2023 (2 updates tracked since 2023).

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About Asc Of Baucom & Mina Derm Surgery Johns Creek Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASC OF BAUCOM & MINA DERM SURGERY JOHNS CREEK LLC (NPI 1013601517) is a healthcare organization registered as an ambulatory surgical in Johns Creek, Georgia and active in the NPI registry since June 2023. The organization lists Mark F Baucom, Owner, as its authorized official.

NPPES Registry Identity

NPI1013601517

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameASC OF BAUCOM & MINA DERM SURGERY JOHNS CREEK LLC

Location Address10750 MEDLOCK BRIDGE RD STE 102Johns Creek, GA 30097-1705

Mailing Address5555 Peachtree Dunwoody Rd Ste 206Atlanta, GA 30342-1711 · (404) 844-0496 · Fax (404) 844-0499

Phone(470) 545-2124

Fax(404) 844-0499

Organization SubpartNo

Authorized OfficialMark F BaucomOwner · (404) 844-0496

Enumeration DateJune 7, 2023

Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration

NPPES CertifiedAugust 15, 2023

✔ NPI 1013601517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

10750 MEDLOCK BRIDGE RD STE 102, Johns Creek, GA 30097

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Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

13 services12 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is ASC Of Baucom & Mina Derm Surgery Johns Creek LLC's NPI number?

The NPI number for ASC Of Baucom & Mina Derm Surgery Johns Creek LLC is 1013601517. It was assigned to this organization in the NPPES registry on June 7, 2023.

Where is ASC Of Baucom & Mina Derm Surgery Johns Creek LLC located?

ASC Of Baucom & Mina Derm Surgery Johns Creek LLC is located at 10750 Medlock Bridge Rd Ste 102, Johns Creek, GA 30097. The listed phone number is (470) 545-2124.

What is ASC Of Baucom & Mina Derm Surgery Johns Creek LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for ASC Of Baucom & Mina Derm Surgery Johns Creek LLC was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.