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METRODERM, P.C.
NPI 1205833894
Dermatology - MOHS-Micrographic Surgery in Atlanta, GA

Active since June 28, 2005CLIA 11D2165047 · Certificate of Compliance
875 JOHNSON FERRY RD NE, SUITE 300, ATLANTA, GA 30342(404) 257-9933(404) 257-9931 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1205833894
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameMETRODERM, P.C.
Location Address875 JOHNSON FERRY RD NE, SUITE 300Atlanta, GA 30342-1418
Mailing Address875 Johnson Ferry Rd Ne, Suite 300Atlanta, GA 30342-1418 · (404) 257-9933 · Fax (404) 257-9931
Phone(404) 257-9933
Fax(404) 257-9931
Organization SubpartNo
Authorized OfficialDiamondis J PapadopoulosPresident · (404) 257-9933
Enumeration DateJune 28, 2005
Last NPPES UpdateFebruary 8, 2017
✔ NPI 1205833894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in GA · 22773
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
875 JOHNSON FERRY RD NE, Atlanta, GA 30342
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Other Names 1

Former Legal Business NameMetropolitan Dermatologic Surgery

Other Identifiers 1

Medicare UPINGRP4725GA

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 ›

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, GA
Active · expires Jan 20, 2028
CLIA Number11D2165047
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2026
Certificate Expiration DateJanuary 20, 2028
Laboratory DirectorDiamondis J. Papadopoulos
Laboratory Phone(404) 257-9933
Laboratory LocationMetroderm, PC - Atlanta875 Johnson Ferry Road, NE, Suite 300, Atlanta, GA 30342
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.

Other Providers at the Same Location NPPES 8

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

DR. DIAMONDIS JOHN PAPADOPOULOS M.D.
Dermatology (MOHS-Micrographic Surgery)
875 JOHNSON FERRY RD NE, STE 300
ATLANTA, GA 30342
Fulton County (404) 257-9933
DR. MOJI DEMI ARIYO MD
Internal Medicine
875 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 778-6100
NINA SINGH PA
Physician Assistant
875 JOHNSON FERRY RD NE, 300
ATLANTA, GA 30342
Fulton County (404) 257-9933
CHERYL D BUCK-PATTERSON MD
Internal Medicine
875 JOHNSON FERRY RD NE, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 778-6100
DIANA IOANA POPA CNP
Nurse Practitioner
875 JOHNSON FERRY RD NE
ATLANTA, GA 30342
Fulton County (404) 778-6070
AMY E KIM MD
Dermatology (MOHS-Micrographic Surgery)
875 JOHNSON FERRY RD NE, SUITE 300
ATLANTA, GA 30342
Fulton County (404) 257-9933
DR. KIMBERLY ANN SHUMATE MD
Internal Medicine
875 JOHNSON FERRY RD NE, SUITE 200
ATLANTA, GA 30342
Fulton County (404) 778-6100
LEE A COULTER P.A.-C
Physician Assistant
875 JOHNSON FERRY RD NE, STE 300
ATLANTA, GA 30342
Fulton County (404) 257-9933

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 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.

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.