ATLANTA NORTH DERMATOLOGY & SKIN CARE, INC.
NPI 1215191085
Dermatology in Woodstock, GA
About Atlanta North Dermatology & Skin Care, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ATLANTA NORTH DERMATOLOGY & SKIN CARE, INC. (NPI 1215191085) is a healthcare organization registered as a dermatology in Woodstock, Georgia and active in the NPI registry since July 2008. The organization holds 2 active CLIA laboratory certificates and lists Jihyun Koo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Atlanta North Dermatology & Skin Care, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Atlanta North Dermatology & Skin Care, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (6)
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 2
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 11D1092445
Atlanta North Dermatology & Skin Care, Inc · Woodstock, GACertificate of Compliance 11D2324304
Atlanta North Dermatology & Skin Care · Canton, 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 Atlanta North Dermatology & Skin Care, Inc.'s NPI number?
The NPI number for Atlanta North Dermatology & Skin Care, Inc. is 1215191085. It was assigned to this organization in the NPPES registry on July 10, 2008.
Where is Atlanta North Dermatology & Skin Care, Inc. located?
Atlanta North Dermatology & Skin Care, Inc. is located at 100 Stoneforest Dr Ste 320, Woodstock, GA 30189. The listed phone number is (770) 516-5199.
What is Atlanta North Dermatology & Skin Care, Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Atlanta North Dermatology & Skin Care, Inc. enrolled in Medicare?
Yes. Atlanta North Dermatology & Skin Care, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlanta North Dermatology & Skin Care, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Atlanta North Dermatology & Skin Care, Inc.. 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 (5) and Pathology (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Atlanta North Dermatology & Skin Care, Inc. hold CLIA laboratory certificates?
Yes. 2 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.
When was this NPI record last updated?
The NPPES record for Atlanta North Dermatology & Skin Care, Inc. was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Atlanta North Dermatology & Skin Care, Inc. · NPI 1215191085
Dermatology organization in Woodstock, Georgia. Organization record, active in the CMS NPPES registry since July 10, 2008.
## Identity
- **NPI:** 1215191085 (Entity type: Organization)
- **Enumerated:** July 10, 2008
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Jihyun Koo, OWNER
## Practice location
- **Address:** 100 STONEFOREST DR STE 320, Woodstock, GA 30189-4881
- **Phone:** (770) 516-5199 · **Fax:** (770) 516-5188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (5), Pathology (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2015
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215191085) · Data from the CMS NPPES public registry.