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DERMATOLOGY CENTER OF ATLANTA
NPI 1295800803
Specialist in Duluth, GA

Active since November 21, 2006CLIA 11D0979163 · Microscopy
9900 MEDLOCK BRIDGE RD, DULUTH, GA 30097(770) 497-0699(770) 497-0388 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Center Of Atlanta NPPES

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

DERMATOLOGY CENTER OF ATLANTA (NPI 1295800803) is a healthcare organization registered as a specialist in Duluth, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through October 15, 2026 and lists Leslie C Gray, Owner, as its authorized official.

NPPES Registry Identity

NPI1295800803
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY CENTER OF ATLANTA
Location Address9900 MEDLOCK BRIDGE RDDuluth, GA 30097-2017
Mailing Address9900 Medlock Bridge RdDuluth, GA 30097-2017 · (770) 497-0699 · Fax (770) 497-0388
Phone(770) 497-0699
Fax(770) 497-0388
Organization SubpartNo
Authorized OfficialLeslie C GrayOwner · (770) 497-0699
Enumeration DateNovember 21, 2006
Last NPPES UpdateJune 13, 2019
✔ NPI 1295800803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 040083
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9900 MEDLOCK BRIDGE RD, Duluth, GA 30097
Open in Google Maps ↗

Other Identifiers 1

OtherCK6511GA · Railroad Medicare Group

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0979163

Dermatology Center Of Atlanta · Duluth, GA
Active · expires Oct 15, 2026
CLIA Number11D0979163
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorLeslie C. Gray
Laboratory Phone(770) 497-0699
Laboratory LocationDermatology Center Of Atlanta9900 Medlock Bridge Road, Duluth, GA 30097
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

MS. LISA M FOREMAN NP-C
Nurse Practitioner
9900 MEDLOCK BRIDGE RD
DULUTH, GA 30097
Gwinnett County (770) 497-0699
KRISTIN HENDREN MAGEE M.D.
Dermatology
9900 MEDLOCK BRIDGE RD
DULUTH, GA 30097
Gwinnett County (770) 497-0699
MRS. NATHINA SCARLETT MELTON PA-C
Physician Assistant (Medical)
9900 MEDLOCK BRIDGE RD
DULUTH, GA 30097
Gwinnett County (770) 497-0699
DR. LESLIE C GRAY M.D.
Specialist
9900 MEDLOCK BRIDGE RD
DULUTH, GA 30097
Gwinnett County (770) 497-0699

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 Dermatology Center Of Atlanta's NPI number?

The NPI number for Dermatology Center Of Atlanta is 1295800803. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Dermatology Center Of Atlanta located?

Dermatology Center Of Atlanta is located at 9900 Medlock Bridge Rd, Duluth, GA 30097. The listed phone number is (770) 497-0699.

What is Dermatology Center Of Atlanta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Dermatology Center Of Atlanta hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0979163) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dermatology Center Of Atlanta was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.