ATLANTA WEST DERMATOLOGY & SURGERY CENTER PC
NPI 1174680979
Dermatology in Austell, GA

Q: What is Atlanta West Dermatology & Surgery Center PC's specialty?

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

Active since January 02, 2007CLIA 11D2335064 · Certificate of Compliance

1550 MULKEY RD, AUSTELL, GA 30106(770) 732-1137(770) 732-2081 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Jan 14, 2026 (2 updates tracked since 2026).

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About Atlanta West Dermatology & Surgery Center Pc NPPES

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

ATLANTA WEST DERMATOLOGY & SURGERY CENTER PC (NPI 1174680979), doing business as Atlanta West Dermatology Pc, is a healthcare organization registered as a dermatology in Austell, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through December 4, 2027, maintains a secondary practice location in Atlanta, and lists Christy Hall, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174680979

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameATLANTA WEST DERMATOLOGY & SURGERY CENTER PC

Location Address1550 MULKEY RDAustell, GA 30106-1112

Mailing Address1550 Mulkey RdAustell, GA 30106-1112 · (770) 732-1137 · Fax (770) 732-2081

Phone(770) 732-1137

Fax(770) 732-2081

Organization SubpartNo

Authorized OfficialChristy HallOffice Manager · (770) 732-1137

Enumeration DateJanuary 2, 2007

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1174680979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in GA · 028477

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.

1550 MULKEY RD, Austell, GA 30106

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Other Names 1

Doing Business AsAtlanta West Dermatology Pc

Secondary Practice Location 1

Location 12850 Paces Ferry Rd SE Ste 450Atlanta, GA 30339-5725 · Phone (770) 732-1137 · Fax (770) 732-2081

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 11D2335064

Atlanta West Dermatology PC · Atlanta, GA

Active · expires Dec 4, 2027

CLIA Number11D2335064

Laboratory TypePhysician Office

Certificate Effective DateDecember 5, 2025

Certificate Expiration DateDecember 4, 2027

Laboratory DirectorCatherine G. Warner

Laboratory Phone(770) 732-1137

Laboratory LocationAtlanta West Dermatology PC2850 Paces Ferry Road, Suite 450, Atlanta, GA 30339

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 11D0724381

Atlanta West Dermatology PC · Austell, GA

Expired · Jul 31, 2026

CLIA Number11D0724381

Laboratory TypePhysician Office

Certificate Effective DateJuly 19, 2024

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorJanice M. Warner

Laboratory Phone(770) 732-1137

Laboratory LocationAtlanta West Dermatology PC1550 Mulkey Road, Austell, GA 30106

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICK DEROUEN PA-C

Physician Assistant (Medical)