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DOUGLAS DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC
NPI 1275929267
Dermatology in Douglasville, GA

Active since April 07, 2015
4645 TIMBER RIDGE DR, SUITE 100, DOUGLASVILLE, GA 30135(678) 702-3376(678) 909-0446 Get Directions Write a Review

NPPES record last updated: January 4, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas Dermatology And Skin Cancer Specialists Llc NPPES

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

DOUGLAS DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC (NPI 1275929267) is a healthcare organization registered as a dermatology in Douglasville, Georgia and active in the NPI registry since April 2015. The organization lists Firas George Hougeir, Owner, as its authorized official.

NPPES Registry Identity

NPI1275929267
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDOUGLAS DERMATOLOGY AND SKIN CANCER SPECIALISTS LLC
Location Address4645 TIMBER RIDGE DR, SUITE 100Douglasville, GA 30135-7541
Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 650-3455
Phone(678) 702-3376
Fax(678) 909-0446
Organization SubpartNo
Authorized OfficialFiras George HougeirOwner · (678) 702-3376
Enumeration DateApril 7, 2015
Last NPPES UpdateJanuary 4, 2017
✔ NPI 1275929267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4645 TIMBER RIDGE DR, Douglasville, GA 30135
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Other Identifiers 1

Medicare PIN102G707563GA

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 Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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)

Douglas Dermatology And Skin Cancer Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Douglas Dermatology And Skin Cancer Specialists LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Kristti Lei Tan, AGNP-BC
Nurse Practitioner
NPI 1679175236
4645 TIMBER RIDGE DR STE 100
Douglasville, GA 30135
(678) 702-3376
✔ PECOS✔ Accepts Medicare0.4 mi
Firas Hougeir, M.D.
Dermatology
NPI 1023095957
4645 TIMBER RIDGE DR STE 100
Douglasville, GA 30135
(678) 702-3376
✔ PECOS✔ Accepts Medicare0.4 mi
Kelli Baender, M.D.
Dermatology
NPI 1093793416
150 E PONCE DE LEON AVE STE 150
Decatur, GA 30030
(404) 566-5056
✔ PECOS✔ Accepts Medicare25 mi
Keith Harris, M.D.
Dermatology
NPI 1922090224
100 MARKET PLACE BLVD STE 300
Cartersville, GA 30121
(470) 490-9600
✔ PECOS✔ Accepts Medicare32 mi
Scott Acker, MD
Pathology
NPI 1639158389
6240 SHILOH RD STE B
Alpharetta, GA 30005
(678) 208-2165
✔ PECOS✔ Accepts Medicare39 mi
Kelsey Daniels, NP-C
Nurse Practitioner
NPI 1134736432
15 RIVERBEND DR SW STE 120
Rome, GA 30161
(706) 622-9155
✔ PECOS43 mi
Sherry Anderson, NURSE PRACTITIONER
Nurse Practitioner
NPI 1386772622
610 19TH ST
Columbus, GA 31901
(706) 322-7884
✔ PECOS✔ Accepts Medicare88 mi
Kelli Borland, NP
Nurse Practitioner
NPI 1144731951
1131 S ORANGE AVE
Orlando, FL 32806
(941) 444-0011
✔ PECOS✔ Accepts Medicare410 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Douglas Dermatology And Skin Cancer Specialists LLC's NPI number?

The NPI number for Douglas Dermatology And Skin Cancer Specialists LLC is 1275929267. It was assigned to this organization in the NPPES registry on April 7, 2015.

Where is Douglas Dermatology And Skin Cancer Specialists LLC located?

Douglas Dermatology And Skin Cancer Specialists LLC is located at 4645 Timber Ridge Dr Suite 100, Douglasville, GA 30135. The listed phone number is (678) 702-3376.

What is Douglas Dermatology And Skin Cancer Specialists LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Douglas Dermatology And Skin Cancer Specialists LLC enrolled in Medicare?

Yes. Douglas Dermatology And Skin Cancer Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Douglas Dermatology And Skin Cancer Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Douglas Dermatology And Skin Cancer Specialists LLC. 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 Nurse Practitioner (4), Dermatology (3) and Pathology (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Douglas Dermatology And Skin Cancer Specialists LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Douglas Dermatology And Skin Cancer Specialists LLC 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 Douglas Dermatology And Skin Cancer Specialists LLC was last updated on January 4, 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.