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SKIN CANCER CENTER OF NORTH GEORGIA PC
NPI 1265205488
Dermatology - MOHS-Micrographic Surgery in Blue Ridge, GA

Active since October 31, 2023CLIA Certified · 3 labs
405 FANNIN INDUSTRIAL PARK, BLUE RIDGE, GA 30513(352) 259-6553 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2023, Oct 31, 2023 (2 updates tracked since 2023).

About Skin Cancer Center Of North Georgia Pc NPPES

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

SKIN CANCER CENTER OF NORTH GEORGIA PC (NPI 1265205488) is a healthcare organization registered as a mohs-micrographic surgery in Blue Ridge, Georgia and active in the NPI registry since October 2023. The organization holds 3 active CLIA laboratory certificates and lists Mary Barber, President, as its authorized official.

NPPES Registry Identity

NPI1265205488
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameSKIN CANCER CENTER OF NORTH GEORGIA PC
Location Address405 FANNIN INDUSTRIAL PARKBlue Ridge, GA 30513-4191
Mailing Address10973 Se 175th Pl Ste 100Summerfield, FL 34491-0905 · (352) 259-6553 · Fax (352) 873-9397
Phone(352) 259-6553
Organization SubpartNo
Authorized OfficialMary BarberPresident · (352) 259-6553
Enumeration DateOctober 31, 2023
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1265205488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatologyTaxonomy 207N00000X
405 FANNIN INDUSTRIAL PARK, Blue Ridge, GA 30513
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 3

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 11D2296677

Skin Cancer Center Of North Georgia · Blue Ridge, GA
Active · expires Oct 13, 2027
CLIA Number11D2296677
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorMary Barber
Laboratory Phone(352) 812-3690
Laboratory LocationSkin Cancer Center Of North Georgia405 Fannin Industrial Park, Blue Ridge, GA 30513
CLIA data matches this NPI record on: Address Name
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 10D2274801

Skin Cancer Center Of Central Florida PA · Ocala, FL
Active · expires Feb 12, 2028
CLIA Number10D2274801
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2026
Certificate Expiration DateFebruary 12, 2028
Laboratory DirectorRebecca Thornhill
Laboratory Phone(352) 259-6553
Laboratory LocationSkin Cancer Center Of Central Florida PA3200 SW 34th Ave Suite 202A, Ocala, FL 34474
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 10D2059389

Skin Cancer Center Of Central Florida · Summerfield, FL
Active · expires Jul 15, 2027
CLIA Number10D2059389
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorDr. Rebecca Thornhill
Laboratory Phone(352) 259-6553
Laboratory LocationSkin Cancer Center Of Central Florida10973 SE 175th Place #100, Summerfield, FL 34491
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 2

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

KAYLA RENEE BOGGS FNP-C
Nurse Practitioner
405 FANNIN INDUSTRIAL PARK
BLUE RIDGE, GA 30513
Fannin County (706) 309-5500
TANYA HARTMAN APRN, FNP-C
Nurse Practitioner
405 FANNIN INDUSTRIAL PARK
BLUE RIDGE, GA 30513
Fannin County (706) 309-5500

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 Skin Cancer Center Of North Georgia PC's NPI number?

The NPI number for Skin Cancer Center Of North Georgia PC is 1265205488. It was assigned to this organization in the NPPES registry on October 31, 2023.

Where is Skin Cancer Center Of North Georgia PC located?

Skin Cancer Center Of North Georgia PC is located at 405 Fannin Industrial Park, Blue Ridge, GA 30513. The listed phone number is (352) 259-6553.

What is Skin Cancer Center Of North Georgia PC's specialty?

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

Does Skin Cancer Center Of North Georgia PC hold CLIA laboratory certificates?

Yes. 3 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 Skin Cancer Center Of North Georgia PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Skin Cancer Center Of North Georgia PC 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 Skin Cancer Center Of North Georgia PC was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.