DERMATOLOGY ASSOCIATES OF GEORGIA, LLC
NPI 1063560803
Specialist in Decatur, GA
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Associates Of Georgia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Dermatology Associates Of Georgia, LLC, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (16)
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 Compliance 11D0686603
Dermatology Associates Of Georgia LLC · Decatur, 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 Dermatology Associates Of Georgia, LLC's NPI number?
The NPI number for Dermatology Associates Of Georgia, LLC is 1063560803. It was assigned to this organization in the NPPES registry on January 8, 2007.
Where is Dermatology Associates Of Georgia, LLC located?
Dermatology Associates Of Georgia, LLC is located at 1951 Clairmont Rd, Decatur, GA 30033. The listed phone number is (404) 321-4600.
What is Dermatology Associates Of Georgia, LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Dermatology Associates Of Georgia, LLC enrolled in Medicare?
Yes. Dermatology Associates Of Georgia, LLC is registered in the Medicare PECOS enrollment system.
When is Dermatology Associates Of Georgia, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Dermatology Associates Of Georgia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Associates Of Georgia, 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 (15) and Nurse Practitioner (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Associates Of Georgia, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D0686603) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Dermatology Associates Of Georgia, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dermatology Associates Of Georgia, 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 Dermatology Associates Of Georgia, LLC was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dermatology Associates Of Georgia, Llc · NPI 1063560803
Specialist organization in Decatur, Georgia. Organization record, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1063560803 (Entity type: Organization)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Marcus Stonecipher, MANAGING MEMBER
## Practice location
- **Address:** 1951 CLAIRMONT RD, Decatur, GA 30033-3415
- **Phone:** (404) 321-4600 · **Fax:** (404) 320-0987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 16 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (15), Nurse Practitioner (1); 5 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2012
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063560803) · Data from the CMS NPPES public registry.