DERMATOPATHOLOGY LAB OF SKIN CANCER SPECIALISTS, P.C.
NPI 1083044465
Clinical Medical Laboratory in Marietta, GA

Active since November 20, 2013
175 WHITE STREET, SUITE 370, MARIETTA, GA 30060(770) 422-5557(770) 422-8816 Get Directions Write a Review

NPPES record last updated: November 20, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dermatopathology Lab Of Skin Cancer Specialists, P.c. NPPES

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

DERMATOPATHOLOGY LAB OF SKIN CANCER SPECIALISTS, P.C. (NPI 1083044465) is a healthcare organization registered as a clinical medical laboratory in Marietta, Georgia and active in the NPI registry since November 2013. The organization lists Mark A. Chastain, M.d., President, as its authorized official.

NPPES Registry Identity

NPI1083044465
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameDERMATOPATHOLOGY LAB OF SKIN CANCER SPECIALISTS, P.C.
Location Address175 WHITE STREET, SUITE 370Marietta, GA 30060-1054
Mailing Address175 White Street, Suite 175Marietta, GA 30060-1054 · (770) 422-5557 · Fax (770) 422-8816
Fax(770) 422-8816
Organization SubpartYesParent: Skin Cancer Specialists P.c
Authorized OfficialMark A. Chastain, M.d.President · (770) 422-5557
Enumeration DateNovember 20, 2013
✔ NPI 1083044465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
175 WHITE STREET, Marietta, GA 30060

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatopathology Lab Of Skin Cancer Specialists, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to Dermatopathology Lab Of Skin Cancer Specialists, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology28
Nurse Practitioner7
Micrographic Dermatologic Surgery (MDS)2
Pathology2

Nearest to this location (20)

See all 39
Nurse Practitioner
NPI 1417710286
835 COGBURN AVE NW STE 100
Marietta, GA 30060
(770) 442-5557
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1750816716
835 COGBURN AVENUE SUITE 100
Marietta, GA 30060
(770) 442-5557
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1215908652
835 COGBURN AVE NW SUITE 100
Marietta, GA 30060
(770) 422-5557
✔ PECOS✔ Accepts Medicare0.1 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1790756138
835 COGBURN AVE NW SUITE 100
Marietta, GA 30060
(770) 422-5557
✔ PECOS✔ Accepts Medicare0.1 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1215220454
835 COGBURN AVE NW SUITE 250
Marietta, GA 30060
(770) 422-8815
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1114985108
835 COGBURN AVENUE SUITE 100
Marietta, GA 30060
(770) 422-5557
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1912198979
835 COGBURN AVENUE SUITE 100
Marietta, GA 30060
(770) 422-5557
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1649477035
835 COGBURN AVE NW SUITE 100
Marietta, GA 30060
(770) 422-5557
✔ PECOS✔ Accepts Medicare0.1 mi
Dermatology
NPI 1073049920
835 COGBURN AVENUE SUITE 100
Marietta, GA 30060
(770) 422-5557
✔ PECOS✔ Accepts Medicare0.1 mi
Pathology
NPI 1366658437
2275 NORTHWEST PARKWAY SE SUITE 140
Marietta, GA 30067
(770) 951-1793
✔ PECOS✔ Accepts Medicare5.2 mi
Dermatology
NPI 1972561819
1790 MULKEY RD SUITE 1
Austell, GA 30106
(770) 941-1013
✔ PECOS8.3 mi
Dermatology
NPI 1033572078
5730 GLENRIDGE DR STE T100
Atlanta, GA 30328
(404) 939-9220
✔ PECOS✔ Accepts Medicare12 mi
Dermatology
NPI 1134549199
5505 PEACHTREE DUNWOODY RD STE 412
Atlanta, GA 30342
(404) 459-9177
✔ PECOS✔ Accepts Medicare13 mi
Dermatology
NPI 1306232608
2021 PEACHTREE RD NE STE 500
Atlanta, GA 30309
(404) 352-1730
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1407075880
2500 HOSPITAL BLVD STE 280
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1205123296
2500 HOSPITAL BLVD STE 280
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1548827710
2500 HOSPITAL BLVD STE 280
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1861070104
1357 HEMBREE RD STE 250
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1821843079
1357 HEMBREE RD STE 250
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts Medicare15 mi
Dermatology
NPI 1225666431
1357 HEMBREE RD STE 250
Roswell, GA 30076
(770) 754-0787
✔ PECOS✔ Accepts Medicare15 mi
See all 39 clinicians

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

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 Dermatopathology Lab Of Skin Cancer Specialists, P.C.'s NPI number?

The NPI number for Dermatopathology Lab Of Skin Cancer Specialists, P.C. is 1083044465. It was assigned to this organization in the NPPES registry on November 20, 2013.

Where is Dermatopathology Lab Of Skin Cancer Specialists, P.C. located?

Dermatopathology Lab Of Skin Cancer Specialists, P.C. is located at 175 White Street Suite 370, Marietta, GA 30060. The listed phone number is (770) 422-5557.

What is Dermatopathology Lab Of Skin Cancer Specialists, P.C.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Is Dermatopathology Lab Of Skin Cancer Specialists, P.C. enrolled in Medicare?

Yes. Dermatopathology Lab Of Skin Cancer Specialists, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatopathology Lab Of Skin Cancer Specialists, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 4 Medicare specialties reassign their Medicare billing to Dermatopathology Lab Of Skin Cancer Specialists, P.C.. 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 (28), Nurse Practitioner (7) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 1 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatopathology Lab Of Skin Cancer Specialists, P.C. was last updated on November 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.