DALTON DERMATOLOGY & DAY SPA, LLC
NPI 1033557160
Dermatology in Dalton, GA

Active since June 11, 2013CLIA 11D2092870 · Accreditation
1108 PROFESSIONAL BLVD, DALTON, GA 30720(706) 226-3311 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dalton Dermatology & Day Spa, Llc NPPES

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

DALTON DERMATOLOGY & DAY SPA, LLC (NPI 1033557160) is a healthcare organization registered as a dermatology in Dalton, Georgia and active in the NPI registry since June 2013. The organization holds an CLIA Accreditation certificate valid through July 23, 2027 and lists Mary E. Cole, Owner/m.d., as its authorized official.

NPPES Registry Identity

NPI1033557160
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDALTON DERMATOLOGY & DAY SPA, LLC
Location Address1108 PROFESSIONAL BLVDDalton, GA 30720-2588
Mailing Address1108 Professional BlvdDalton, GA 30720-2588 · (706) 226-3311
Organization SubpartNo
Authorized OfficialMary E. ColeOwner/m.d. · (706) 226-3311
Enumeration DateJune 11, 2013
✔ NPI 1033557160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 065349
Definition
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.
1108 PROFESSIONAL BLVD, Dalton, GA 30720

Other Identifiers 2

Medicare PINPENDINGGA
MedicaidPENDINGGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dalton Dermatology & Day Spa, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dalton Dermatology & Day Spa, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Dermatology
NPI 1821292301
1108 PROFESSIONAL BLVD
Dalton, GA 30720
(706) 226-7546
✔ PECOS✔ Accepts MedicareSame address
Micrographic Dermatologic Surgery (MDS)
NPI 1871882225
105 PROFESSIONAL PARK DR
Cumming, GA 30040
(770) 800-3455
✔ PECOS✔ Accepts Medicare63 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 11D2092870

Dalton Dermatology · Dalton, GA
Active · expires Jul 23, 2027
CLIA Number11D2092870
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorMary Beth Cole
Laboratory Phone(706) 226-7546
Laboratory LocationDalton Dermatology1108 Professional Blvd, Dalton, GA 30720
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Dalton Dermatology & Day Spa, LLC's NPI number?

The NPI number for Dalton Dermatology & Day Spa, LLC is 1033557160. It was assigned to this organization in the NPPES registry on June 11, 2013.

Where is Dalton Dermatology & Day Spa, LLC located?

Dalton Dermatology & Day Spa, LLC is located at 1108 Professional Blvd, Dalton, GA 30720. The listed phone number is (706) 226-3311.

What is Dalton Dermatology & Day Spa, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dalton Dermatology & Day Spa, LLC enrolled in Medicare?

Yes. Dalton Dermatology & Day Spa, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dalton Dermatology & Day Spa, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Dalton Dermatology & Day Spa, LLC, in Dermatology and Micrographic Dermatologic Surgery (MDS). A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dalton Dermatology & Day Spa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 11D2092870) is associated with this NPI, valid through July 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dalton Dermatology & Day Spa, LLC accept?

Health plans from Alliant Health Plans, Inc. list Dalton Dermatology & Day Spa, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dalton Dermatology & Day Spa, LLC was last updated on June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.