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 Certified · 2 labs

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: October 25, 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 2 active CLIA laboratory certificates, 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 ›

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 West Dermatology & Surgery Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Atlanta West Dermatology & Surgery Center PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.