METRODERM, P.C.
NPI 1205833894
Dermatology - MOHS-Micrographic Surgery in Atlanta, GA
About Metroderm, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METRODERM, P.C. (NPI 1205833894), doing business as Metropolitan Dermatologic Surgery, is a healthcare organization registered as a mohs-micrographic surgery in Atlanta, Georgia and active in the NPI registry since June 2005. The organization holds a CLIA Certificate of Compliance certificate valid through January 20, 2028 and lists Diamondis J Papadopoulos, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Accepted 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)
Metroderm, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Metroderm, P.C., which bills Medicare for the services they deliver. Of these, 9 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 34Atlanta, GA 30342
Atlanta, GA 30342
Atlanta, GA 30322
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
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 11D2165047
Metroderm, PC - Atlanta · Atlanta, 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 Metroderm, P.C.'s NPI number?
The NPI number for Metroderm, P.C. is 1205833894. It was assigned to this organization in the NPPES registry on June 28, 2005. The provider was formerly known as Metropolitan Dermatologic Surgery.
Where is Metroderm, P.C. located?
Metroderm, P.C. is located at 875 Johnson Ferry Rd NE Suite 300, Atlanta, GA 30342. The listed phone number is (404) 257-9933.
What is Metroderm, P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.
Is Metroderm, P.C. enrolled in Medicare?
Yes. Metroderm, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Metroderm, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 5 Medicare specialties reassign their Medicare billing to Metroderm, P.C.. 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 (22), Nurse Practitioner (5) and Plastic and Reconstructive Surgery (4). Of these, 9 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Metroderm, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D2165047) is associated with this NPI, valid through January 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Metroderm, P.C. accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Metroderm, P.C. 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 Metroderm, P.C. was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Metroderm, P.c. · NPI 1205833894
MOHS-Micrographic Surgery organization in Atlanta, Georgia. Organization record, active in the CMS NPPES registry since June 28, 2005.
## Identity
- **NPI:** 1205833894 (Entity type: Organization)
- **Enumerated:** June 28, 2005
- **Primary specialty:** Dermatology - MOHS-Micrographic Surgery · taxonomy 207ND0101X
- **Organization subpart:** No
- **Authorized official:** Diamondis Papadopoulos, PRESIDENT
## Practice location
- **Address:** 875 JOHNSON FERRY RD NE, SUITE 300, Atlanta, GA 30342-1418
- **Phone:** (404) 257-9933 · **Fax:** (404) 257-9931
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (22), Nurse Practitioner (5), Plastic and Reconstructive Surgery (4); 9 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1205833894/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 8, 2017
- **Other identifiers:** Medicare UPIN GRP4725 (GA)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1205833894) · Data from the CMS NPPES public registry.