ATLANTIC SHORE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE
NPI 1154938579
Dermatology in St Simons Island, GA

NPI Status: Active since September 29, 2020

Contact Information

7000 WELLNESS WAY STE 7120
ST SIMONS ISLAND, GA
ZIP 31522
Phone: (912) 634-4966
Fax: (912) 634-6542

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Dermatology
CLIA Number: 11D2081319
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 07-22-2026

About ATLANTIC SHORE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE

This page provides the complete NPI Profile along with additional information for Atlantic Shore Dermatology, A Forefront Dermatology Practice, a provider established in St Simons Island, Georgia operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1154938579 assigned on September 2020. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Atlantic Shore Dermatology, A Forefront Dermatology Practice operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Atlantic Shore Dermatology, A Forefront Dermatology Practice. The authorized official of this NPI record is Dr. Betsy J Wernli Md (President)

NPI: 1154938579
Provider Legal Name: FOREFRONT DERMATOLOGY, S.C.
Other Organization Name: ATLANTIC SHORE DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 7000 WELLNESS WAY STE 7120 ST SIMONS ISLAND, GA 31522
Location Phone: (912) 634-4966
Location Fax: (912) 634-6542
Mailing Address: 801 YORK ST MANITOWOC, WI 54220
Mailing Phone: (920) 663-9008
Mailing Fax: (912) 634-6542
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 09-29-2020
Last Update Date: 11-19-2020
Code Navigator

A dermatologist like Atlantic Shore Dermatology, A Forefront Dermatology Practice is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Location Map

Secondary Locations

400 Lister St
Waycross, GA 31501
(912) 283-4850
2804 Saint Marys Rd
Saint Marys, GA 31558
(912) 439-3186

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dermatology
Taxonomy Code: 207N00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization
1	207ND0101X	Allopathic & Osteopathic Physicians	Dermatology MOHS-Micrographic Surgery
2	207NS0135X	Allopathic & Osteopathic Physicians	Dermatology Procedural Dermatology
3	207X00000X	Allopathic & Osteopathic Physicians	Orthopaedic Surgery

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. BETSY J WERNLI MD
Authorized Official Title: PRESIDENT
Authorized Official Phone: (920) 482-0671

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 11D2081319
Facility Type: Physician Office
Certificate Effective Date: July 23, 2024
Certificate Expiration Date: July 22, 2026
Laboratory Director: ASHLEY C. CAVALIER
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Atlantic Shore Dermatology, A Forefront Dermatology Practice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154938579, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 18 → 1 + 8

Pos 6

Unchanged

Pos 7

Doubled → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 14 → 1 + 4

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 9 → 18 → 9 8 → 16 → 7 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 8 + 3 + 1 + 6 + 5 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9

This NPI is valid

The calculated check digit is 9, which matches the last digit of 1154938579.