ATLANTA DERMATOLOGY & AESTHETICS PC
NPI 1154712958
Dermatology in Atlanta, GA

Active since February 15, 2015
232 19TH ST NW, SUITE 7230, ATLANTA, GA 30363(404) 873-1795 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Atlanta Dermatology & Aesthetics Pc NPPES

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

ATLANTA DERMATOLOGY & AESTHETICS PC (NPI 1154712958) is a healthcare organization registered as a dermatology in Atlanta, Georgia and active in the NPI registry since February 2015. The organization lists Sumayah Taliaferro, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1154712958
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameATLANTA DERMATOLOGY & AESTHETICS PC
Location Address232 19TH ST NW, SUITE 7230Atlanta, GA 30363-1130
Mailing AddressPo Box 79343Atlanta, GA 30357-7343 · (404) 873-1795
Organization SubpartNo
Authorized OfficialSumayah TaliaferroPhysician Owner · (404) 873-1795
Enumeration DateFebruary 15, 2015
Last NPPES UpdateFebruary 16, 2015
✔ NPI 1154712958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 059337
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
232 19TH ST NW, Atlanta, GA 30363

Other Identifiers 1

Medicare NSC2021072544

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlanta Dermatology & Aesthetics Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Atlanta Dermatology & Aesthetics PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1467658393
3131 MAPLE DR NE SUITE 102
Atlanta, GA 30305
(404) 816-7900
✔ PECOS✔ Accepts Medicare3.5 mi

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 Atlanta Dermatology & Aesthetics PC's NPI number?

The NPI number for Atlanta Dermatology & Aesthetics PC is 1154712958. It was assigned to this organization in the NPPES registry on February 15, 2015.

Where is Atlanta Dermatology & Aesthetics PC located?

Atlanta Dermatology & Aesthetics PC is located at 232 19th St NW Suite 7230, Atlanta, GA 30363. The listed phone number is (404) 873-1795.

What is Atlanta Dermatology & Aesthetics PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Atlanta Dermatology & Aesthetics PC enrolled in Medicare?

Yes. Atlanta Dermatology & Aesthetics PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta Dermatology & Aesthetics PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Atlanta Dermatology & Aesthetics 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Atlanta Dermatology & Aesthetics PC was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.