MODERN DERMATOLOGY ATLANTA
NPI 1164947115
Dermatology in Dunwoody, GA
About Modern Dermatology Atlanta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODERN DERMATOLOGY ATLANTA (NPI 1164947115) is a healthcare organization registered as a dermatology in Dunwoody, Georgia and active in the NPI registry since August 2017. The organization lists Naga B Meduri, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Modern Dermatology Atlanta 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 Modern Dermatology Atlanta, which bills Medicare for the services this clinician delivers.
Clinician (1)
Cumming, GA 30041
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 Modern Dermatology Atlanta's NPI number?
The NPI number for Modern Dermatology Atlanta is 1164947115. It was assigned to this organization in the NPPES registry on August 11, 2017.
Where is Modern Dermatology Atlanta located?
Modern Dermatology Atlanta is located at 5696 Whitehall Walk, Dunwoody, GA 30338. The listed phone number is (423) 280-2594.
What is Modern Dermatology Atlanta's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Modern Dermatology Atlanta enrolled in Medicare?
Yes. Modern Dermatology Atlanta is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Modern Dermatology Atlanta?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Modern Dermatology Atlanta. 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 Modern Dermatology Atlanta was last updated on August 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.