GEORGIA SKIN CANCER & AESTHEITIC DERMATOLOGY, LLC
NPI 1205026168
Dermatology in Watkinsville, GA

Active since July 26, 2007CLIA Certified · 4 labs
1180 RESURGENCE DR STE 100, WATKINSVILLE, GA 30677(706) 543-5858(706) 621-5804 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1205026168
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGEORGIA SKIN CANCER & AESTHEITIC DERMATOLOGY, LLC
Location Address1180 RESURGENCE DR STE 100Watkinsville, GA 30677-7211
Mailing Address1180 Resurgence Dr Ste 100Watkinsville, GA 30677-7211 · (706) 543-5858 · Fax (706) 621-5804
Fax(706) 621-5804
Organization SubpartNo
Authorized OfficialRoss Martin CampbellOwner · (706) 543-5858
Enumeration DateJuly 26, 2007
Last NPPES UpdateOctober 2, 2019
NPI 1205026168 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.

1180 RESURGENCE DR STE 100, Watkinsville, GA 30677

Secondary Practice Locations 3

Location 1209 Mercer PlCommerce, GA 30529-1564 · Phone (706) 543-5858 ext. 3202 · Fax (706) 621-5804
Location 235 Chestnut StElberton, GA 30635-1833 · Phone (706) 543-5858 ext. 3202 · Fax (706) 621-5804
Location 31000 Cowles Clinc Way Ste W-100Greensboro, GA 30642-4538 · Phone (706) 543-5858 ext. 3202 · Fax (706) 621-5804

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

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, GA
Active · expires May 21, 2028
CLIA Number11D1073897
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorRoss M. Cambpbell
Laboratory Phone(706) 543-5858
Laboratory LocationGeorgia Skin Cancer & Aesthetic Dermatology1180 Resurgence Drive Suite 100, Watkinsville, GA 30677
CLIA data matches this NPI record on: Address 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 11D2334638

Georgia Skin Cancer & Aesthetic Dermatology · Macon, GA
Active · expires Nov 24, 2027
CLIA Number11D2334638
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorRoss M. Campgell
Laboratory Phone(706) 543-5858
Laboratory LocationGeorgia Skin Cancer & Aesthetic Dermatology540 Charter Boulevard, Macon, GA 31210
CLIA data matches this NPI record on: 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 11D2243161

Georgia Skin Cancer & Aesthetic Dermatology · Gainesville, GA
Active · expires Sep 13, 2027
CLIA Number11D2243161
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2025
Certificate Expiration DateSeptember 13, 2027
Laboratory DirectorRoss M. Campbell
Laboratory Phone(706) 543-5858
Laboratory LocationGeorgia Skin Cancer & Aesthetic Dermatology2150 Limestone Ridge NE Ste 201, Gainesville, GA 30501
CLIA data matches this NPI record on: 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 11D2277410

Georgia Skin Cancer & Aesthetic Dermatology · Greensboro, GA
Active · expires Feb 6, 2027
CLIA Number11D2277410
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorRoss M. Campbell
Laboratory Phone(706) 543-5858
Laboratory LocationGeorgia Skin Cancer & Aesthetic Dermatology1046 Salem Walk Drive, Greensboro, GA 30642
CLIA data matches this NPI record on: 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 7

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

Dermatology (MOHS-Micrographic Surgery)
1180 RESURGENCE DR STE 100
WATKINSVILLE, GA 30677
Physician Assistant
1180 RESURGENCE DR STE 100
WATKINSVILLE, GA 30677
Physician Assistant
1180 RESURGENCE DR STE 100
WATKINSVILLE, GA 30677
Dermatology
1180 RESURGENCE DR STE 100
WATKINSVILLE, GA 30677
Nurse Practitioner
1180 RESURGENCE DR STE 100
WATKINSVILLE, GA 30677
Physician Assistant
1180 RESURGENCE DR STE 100
WATKINSVILLE, GA 30677
Physician Assistant (Surgical)
1180 RESURGENCE DR STE 100
WATKINSVILLE, GA 30677

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 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.

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 with the weekly NPPES data releases published by CMS.