MEDICAL DERMATOLOGY SPECIALISTS,PC
NPI 1134544679
Clinic/Center - Medical Specialty in Sandy Springs, GA
About Medical Dermatology Specialists,pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL DERMATOLOGY SPECIALISTS,PC (NPI 1134544679) is a healthcare organization registered as a medical specialty in Sandy Springs, Georgia and active in the NPI registry since February 2014. The organization holds a CLIA Certificate of Compliance certificate valid through June 17, 2028 and lists Jamie D Weisman, Physician/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Dermatology Specialists,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Medical Dermatology Specialists,pc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 11D2345850
Medical Dermatology Specialists · Atlanta, 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 Medical Dermatology Specialists,pc's NPI number?
The NPI number for Medical Dermatology Specialists,pc is 1134544679. It was assigned to this organization in the NPPES registry on February 20, 2014.
Where is Medical Dermatology Specialists,pc located?
Medical Dermatology Specialists,pc is located at 5730 Glenridge Dr Suite T-100, Sandy Springs, GA 30328. The listed phone number is (404) 939-9220.
What is Medical Dermatology Specialists,pc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Medical Dermatology Specialists,pc enrolled in Medicare?
Yes. Medical Dermatology Specialists,pc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medical Dermatology Specialists,pc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Medical Dermatology Specialists,pc. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medical Dermatology Specialists,pc hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D2345850) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Medical Dermatology Specialists,pc was last updated on August 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Medical Dermatology Specialists,pc · NPI 1134544679
Medical Specialty organization in Sandy Springs, Georgia. Organization record, active in the CMS NPPES registry since February 20, 2014.
## Identity
- **NPI:** 1134544679 (Entity type: Organization)
- **Enumerated:** February 20, 2014
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Jamie Weisman, PHYSICIAN/OWNER
## Practice location
- **Address:** 5730 GLENRIDGE DR, SUITE T-100, Sandy Springs, GA 30328-6141
- **Phone:** (404) 939-9220 · **Fax:** (404) 939-9221
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2016
- **Other identifiers:** Other 202I075875 (GA); Other 070016848 (GA); Other 07BBSST (GA); and 1 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134544679) · Data from the CMS NPPES public registry.