DERMATOLOGY ASSOCIATES OF GEORGIA, LLC
NPI 1063560803
Specialist in Decatur, GA

Q: What is Dermatology Associates Of Georgia, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 08, 2007CLIA 11D0686603 · Certificate of Compliance

1951 CLAIRMONT RD, DECATUR, GA 30033(404) 321-4600(404) 320-0987 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dermatology Associates Of Georgia, Llc NPPES

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

DERMATOLOGY ASSOCIATES OF GEORGIA, LLC (NPI 1063560803) is a healthcare organization registered as a specialist in Decatur, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 17, 2027 and lists Marcus R Stonecipher, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1063560803

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDERMATOLOGY ASSOCIATES OF GEORGIA, LLC

Location Address1951 CLAIRMONT RDDecatur, GA 30033-3415

Mailing Address1951 Clairmont RdDecatur, GA 30033-3415 · (404) 321-4600 · Fax (404) 320-0987

Phone(404) 321-4600

Fax(404) 320-0987

Organization SubpartNo

Authorized OfficialMarcus R StonecipherManaging Member · (404) 321-4600

Enumeration DateJanuary 8, 2007

Last NPPES UpdateFebruary 10, 2012

✔ NPI 1063560803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1951 CLAIRMONT RD, Decatur, GA 30033

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 11D0686603

Dermatology Associates Of Georgia LLC · Decatur, GA

Active · expires Nov 17, 2027

CLIA Number11D0686603

Laboratory TypePhysician Office

Certificate Effective DateNovember 18, 2025

Certificate Expiration DateNovember 17, 2027

Laboratory DirectorDamon V. Mauldin

Laboratory Phone(404) 321-4600

Laboratory LocationDermatology Associates Of Georgia LLC1951 Clairmont Road, Decatur, GA 30033

CLIA data matches this NPI record on: Address 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.

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Other Providers at the Same Location NPPES 10

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

RHEA V DOUGLAS P.A.

Physician Assistant (Medical)