GEORGIA SKIN CANCER & AESTHEITIC DERMATOLOGY, LLC
NPI 1205026168
Dermatology in Watkinsville, GA
About Georgia Skin Cancer & Aestheitic Dermatology, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GEORGIA SKIN CANCER & AESTHEITIC DERMATOLOGY, LLC (NPI 1205026168) is a healthcare organization registered as a dermatology in Watkinsville, Georgia and active in the NPI registry since July 2007. The organization holds 4 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Ross Martin Campbell, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Georgia Skin Cancer & Aestheitic Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Georgia Skin Cancer & Aestheitic Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 4
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 11D1073897
Georgia Skin Cancer & Aesthetic Dermatology · Watkinsville, GACertificate of Compliance 11D2334638
Georgia Skin Cancer & Aesthetic Dermatology · Macon, GACertificate of Compliance 11D2243161
Georgia Skin Cancer & Aesthetic Dermatology · Gainesville, GACertificate of Compliance 11D2277410
Georgia Skin Cancer & Aesthetic Dermatology · Greensboro, GAFrequently 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 Georgia Skin Cancer & Aestheitic Dermatology, LLC's NPI number?
The NPI number for Georgia Skin Cancer & Aestheitic Dermatology, LLC is 1205026168. It was assigned to this organization in the NPPES registry on July 26, 2007.
Where is Georgia Skin Cancer & Aestheitic Dermatology, LLC located?
Georgia Skin Cancer & Aestheitic Dermatology, LLC is located at 1180 Resurgence Dr Ste 100, Watkinsville, GA 30677. The listed phone number is (706) 543-5858.
What is Georgia Skin Cancer & Aestheitic Dermatology, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Georgia Skin Cancer & Aestheitic Dermatology, LLC enrolled in Medicare?
Yes. Georgia Skin Cancer & Aestheitic Dermatology, LLC is registered in the Medicare PECOS enrollment system.
When is Georgia Skin Cancer & Aestheitic Dermatology, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Georgia Skin Cancer & Aestheitic Dermatology, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 5 Medicare specialties reassign their Medicare billing to Georgia Skin Cancer & Aestheitic Dermatology, LLC. 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. The largest specialties are Dermatology (9), Nurse Practitioner (3) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Georgia Skin Cancer & Aestheitic Dermatology, LLC hold CLIA laboratory certificates?
Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Georgia Skin Cancer & Aestheitic Dermatology, LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Georgia Skin Cancer & Aestheitic Dermatology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Georgia Skin Cancer & Aestheitic Dermatology, LLC was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Georgia Skin Cancer & Aestheitic Dermatology, Llc · NPI 1205026168
Dermatology organization in Watkinsville, Georgia. Organization record, active in the CMS NPPES registry since July 26, 2007.
## Identity
- **NPI:** 1205026168 (Entity type: Organization)
- **Enumerated:** July 26, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Ross Campbell, OWNER
## Practice location
- **Address:** 1180 RESURGENCE DR STE 100, Watkinsville, GA 30677-7211
- **Phone:** (706) 543-5858 · **Fax:** (706) 621-5804
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 16 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (9), Nurse Practitioner (3), Micrographic Dermatologic Surgery (MDS) (2); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2019
- **CLIA laboratory certificates:** 4 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205026168) · Data from the CMS NPPES public registry.