Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AXIS DERMATOLOGY LLC
NPI 1194658427
Dermatology in Peachtree Corners, GA

Q: What is Axis Dermatology LLC's NPI number?

The NPI number for Axis Dermatology LLC is 1194658427. It was assigned to this organization in the NPPES registry on June 5, 2026.

Q: What is Axis Dermatology LLC's specialty?

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

Active since June 05, 2026CLIA 11D2348736 · Waiver

6460 SPALDING DR STE A, PEACHTREE CORNERS, GA 30092(678) 890-8035(678) 487-5311 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, Jun 5, 2026 (2 updates tracked since 2026).

On this page

About Axis Dermatology Llc NPPES

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

AXIS DERMATOLOGY LLC (NPI 1194658427) is a healthcare organization registered as a dermatology in Peachtree Corners, Georgia and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through August 10, 2028 and lists Hasan Khosravi, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1194658427

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameAXIS DERMATOLOGY LLC

Location Address6460 SPALDING DR STE APeachtree Corners, GA 30092-1805

Mailing Address6460 Spalding Dr Ste APeachtree Corners, GA 30092-1805 · (678) 890-8035 · Fax (678) 487-5311

Phone(678) 890-8035

Fax(678) 487-5311

Organization SubpartNo

Authorized OfficialHasan KhosraviChief Medical Officer · (678) 890-8035

Enumeration DateJune 5, 2026

Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1194658427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

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.

6460 SPALDING DR STE A, Peachtree Corners, GA 30092

Open in Google Maps ↗

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

CLIA Laboratory Certificates CMS CLIA

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 Waiver 11D2348736

Axis Dermatology LLC · Peachtree Corners, GA

Active · expires Aug 10, 2028

CLIA Number11D2348736

Laboratory TypePhysician Office

Certificate Effective DateAugust 11, 2026

Certificate Expiration DateAugust 10, 2028

Laboratory DirectorHasan Khosravi

Laboratory Phone(678) 890-8035

Laboratory LocationAxis Dermatology LLC6460 Spalding Drive, Ste A, Peachtree Corners, GA 30092

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. HASAN KHOSRAVI MD

Dermatology

6460 SPALDING DR STE A
PEACHTREE CORNERS, GA 30092

Gwinnett County (678) 890-8035

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 Axis Dermatology LLC's NPI number?

The NPI number for Axis Dermatology LLC is 1194658427. It was assigned to this organization in the NPPES registry on June 5, 2026.

Where is Axis Dermatology LLC located?

Axis Dermatology LLC is located at 6460 Spalding Dr Ste A, Peachtree Corners, GA 30092. The listed phone number is (678) 890-8035.

What is Axis Dermatology LLC's specialty?

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

Does Axis Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2348736) is associated with this NPI, valid through August 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Axis Dermatology LLC was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.