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JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C.
NPI 1053565580
Dermatology in Johns Creek, GA

Active since November 11, 2008CLIA 11D1096403 · Certificate of Compliance
6300 HOSPITAL PKWY, STE 100, JOHNS CREEK, GA 30097(770) 771-6591(770) 771-6599 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johns Creek Dermatology And Family Medicine, P.c. NPPES

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

JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C. (NPI 1053565580) is a healthcare organization registered as a dermatology in Johns Creek, Georgia and active in the NPI registry since November 2008. The organization holds a CLIA Certificate of Compliance certificate valid through October 2, 2027 and lists Shereen Timani, Owner, as its authorized official.

NPPES Registry Identity

NPI1053565580
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C.
Location Address6300 HOSPITAL PKWY, STE 100Johns Creek, GA 30097
Mailing Address6300 Hospital Pkwy, Ste 100Johns Creek, GA 30097 · (770) 771-6591 · Fax (770) 771-6599
Phone(770) 771-6591
Fax(770) 771-6599
Organization SubpartNo
Authorized OfficialShereen TimaniOwner · (770) 771-6591
Enumeration DateNovember 11, 2008
Last NPPES UpdateOctober 5, 2010
✔ NPI 1053565580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 061526
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.
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 061526 (GA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 061566 (GA)
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 061566 (GA)
6300 HOSPITAL PKWY, Johns Creek, GA 30097
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Other Identifiers 4

Medicaid437442038AGA
Medicare PIN511G41701297GA
Other1851505077GA · Dr Shereen Timani
Other1982602074GA · Dr. Ahmad Charkawi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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 Compliance 11D1096403

Johns Creek Dermatology And Family Medicine PC · Duluth, GA
Active · expires Oct 2, 2027
CLIA Number11D1096403
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorShereen Timani
Laboratory Phone(770) 771-6591
Laboratory LocationJohns Creek Dermatology And Family Medicine PC6300 Hospital Parkway Suite 100, Duluth, GA 30097
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA BETH MILLER DPT
Physical Therapist
6300 HOSPITAL PKWY, SUITE 400
JOHNS CREEK, GA 30097
Gwinnett County (678) 205-4261
DIGESTIVE CARE PHYSICIANS, LLC
Specialist
6300 HOSPITAL PKWY, SUITE 450
JOHNS CREEK, GA 30097
Gwinnett County (770) 227-2222
DR. ROBERT CARL WALDROP M.D.
Psychiatry & Neurology (Neurology)
6300 HOSPITAL PKWY, SUITE 260
JOHNS CREEK, GA 30097
Gwinnett County (770) 454-4685
MR. SCOTT DAVID LONTZ PA
Physician Assistant
6300 HOSPITAL PKWY, SUITE 400
JOHNS CREEK, GA 30097
Gwinnett County (678) 205-4261
WILLIAM JAY LICHTENFELD M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
6300 HOSPITAL PKWY, SUITE 400
JOHNS CREEK, GA 30097
Gwinnett County (678) 205-4261
PROF. TAMIKO LIN D'ELENA PA-C
Physician Assistant
6300 HOSPITAL PKWY, STE 450
JOHNS CREEK, GA 30097
Gwinnett County (770) 227-2222
ORTHOATLANTA, LLC
Orthopaedic Surgery
6300 HOSPITAL PKWY, SUITE 400
JOHNS CREEK, GA 30097
Gwinnett County (678) 205-4261
HEATHER DEBERRY PA-C
Physician Assistant
6300 HOSPITAL PKWY, SUITE 400
JOHNS CREEK, GA 30097
Gwinnett County (678) 205-4260

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 Johns Creek Dermatology And Family Medicine, P.C.'s NPI number?

The NPI number for Johns Creek Dermatology And Family Medicine, P.C. is 1053565580. It was assigned to this organization in the NPPES registry on November 11, 2008.

Where is Johns Creek Dermatology And Family Medicine, P.C. located?

Johns Creek Dermatology And Family Medicine, P.C. is located at 6300 Hospital Pkwy Ste 100, Johns Creek, GA 30097. The listed phone number is (770) 771-6591.

What is Johns Creek Dermatology And Family Medicine, P.C.'s specialty?

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

Does Johns Creek Dermatology And Family Medicine, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D1096403) is associated with this NPI, valid through October 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Johns Creek Dermatology And Family Medicine, P.C. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Johns Creek Dermatology And Family Medicine, P.C. 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 Johns Creek Dermatology And Family Medicine, P.C. was last updated on October 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.