GEORGIA DERMATOLOGY & SKIN CARE CENTER
NPI 1063460459
Dermatology in Dublin, GA
About Georgia Dermatology & Skin Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA DERMATOLOGY & SKIN CARE CENTER (NPI 1063460459) is a healthcare organization registered as a dermatology in Dublin, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 12, 2028 and lists Michael J Sharkey, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 7
Other Names 1
Other Identifiers 2
Group Practice 1
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)
Georgia Dermatology & Skin Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Georgia Dermatology & Skin Care Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 34Source: 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 Compliance 11D0914503
Georgia Dermatology & Skin Cancer Center, LLC · Dublin, GAFrequently 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 Georgia Dermatology & Skin Cancer Center, LLC's NPI number?
The NPI number for Georgia Dermatology & Skin Cancer Center, LLC is 1063460459. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is also known as Georgia Dermatology & Skin Care Center.
Where is Georgia Dermatology & Skin Cancer Center, LLC located?
Georgia Dermatology & Skin Cancer Center, LLC is located at 2400 Bellevue Rd 16 Erin Office Park, Dublin, GA 31021. The listed phone number is (478) 328-0281.
What is Georgia Dermatology & Skin Cancer Center, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Georgia Dermatology & Skin Cancer Center, LLC enrolled in Medicare?
Yes. Georgia Dermatology & Skin Cancer Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Georgia Dermatology & Skin Cancer Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 4 Medicare specialties reassign their Medicare billing to Georgia Dermatology & Skin Cancer Center, LLC. 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. The largest specialties are Dermatology (22), Nurse Practitioner (9) and Pathology (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Georgia Dermatology & Skin Cancer Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D0914503) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Georgia Dermatology & Skin Cancer Center, LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Georgia Dermatology & Skin Cancer Center, 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 Georgia Dermatology & Skin Cancer Center, LLC was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Georgia Dermatology & Skin Care Center · NPI 1063460459
Dermatology organization in Dublin, Georgia. Organization record, active in the CMS NPPES registry since May 5, 2006.
## Identity
- **NPI:** 1063460459 (Entity type: Organization)
- **Enumerated:** May 5, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Georgia Dermatology & Skin Cancer Center, Llc
- **Organization subpart:** No
- **Authorized official:** Michael Sharkey, OWNER
## Practice location
- **Address:** 2400 BELLEVUE RD, 16 ERIN OFFICE PARK, Dublin, GA 31021-2885
- **Phone:** (478) 328-0281 · **Fax:** (478) 328-0438
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (22), Nurse Practitioner (9), Pathology (2); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1063460459/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 30, 2007
- **Other identifiers:** Other DC4061 (GA); Medicare ID-Type Unspecified GRP6800 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063460459) · Data from the CMS NPPES public registry.