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WEST GEORGIA DERM SURGERY CENTER
NPI 1235065590
Dermatology - MOHS-Micrographic Surgery in Carrollton, GA

Active since June 23, 2026CLIA 11D2348095 · Waiver
601 DIXIE ST, CARROLLTON, GA 30117(770) 838-9333(770) 838-7755 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About West Georgia Derm Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST GEORGIA DERM SURGERY CENTER (NPI 1235065590) is a healthcare organization registered as a mohs-micrographic surgery in Carrollton, Georgia and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through July 29, 2028 and lists Sarah Wilson, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1235065590
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameWEST GEORGIA DERM SURGERY CENTER
Location Address601 DIXIE STCarrollton, GA 30117-3816
Mailing Address601 Dixie StCarrollton, GA 30117-3816 · (770) 838-9333 · Fax (770) 838-7755
Phone(770) 838-9333
Fax(770) 838-7755
Organization SubpartNo
Authorized OfficialSarah WilsonManaging Director · (770) 838-9333
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1235065590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
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.
601 DIXIE ST, Carrollton, GA 30117
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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

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 Waiver 11D2348095

West Georgia Derm Surgery Center LLC · Carrollton, GA
Active · expires Jul 29, 2028
CLIA Number11D2348095
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 30, 2026
Certificate Expiration DateJuly 29, 2028
Laboratory DirectorSarah Wilson
Laboratory Phone(770) 838-9333
Laboratory LocationWest Georgia Derm Surgery Center LLC601 Dixie Street, Carrollton, GA 30117
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

KATIE CLARK WADLINGTON MD
Dermatology
601 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 838-9333
DR. HOLLIS PAUL WALLS D.M.D.
Dentist (General Practice)
601 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 832-6123
BRITTANY BAKER PA-C
Dermatology
601 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 838-9333
DERMATOLOGY SPECIALISTS OF W GA
Dermatology
601 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 838-9333
MRS. LAUREN ASHLEY PRICE PA-C
Physician Assistant
601 DIXIE ST
CARROLLTON, GA 30117
Carroll County (770) 838-9333

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 West Georgia Derm Surgery Center's NPI number?

The NPI number for West Georgia Derm Surgery Center is 1235065590. It was assigned to this organization in the NPPES registry on June 23, 2026.

Where is West Georgia Derm Surgery Center located?

West Georgia Derm Surgery Center is located at 601 Dixie St, Carrollton, GA 30117. The listed phone number is (770) 838-9333.

What is West Georgia Derm Surgery Center's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does West Georgia Derm Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2348095) is associated with this NPI, valid through July 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West Georgia Derm Surgery Center was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.