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CAMPEN DERMATOLOGY, LLC
NPI 1336463876
Dermatology in Savannah, GA

Active since March 25, 2010CLIA 11D1012945 · Microscopy
5102 PAULSEN ST, BLDG. 4, SAVANNAH, GA 31405(912) 356-3604(912) 356-5801 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Campen Dermatology, Llc NPPES

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

CAMPEN DERMATOLOGY, LLC (NPI 1336463876) is a healthcare organization registered as a dermatology in Savannah, Georgia and active in the NPI registry since March 2010. The organization holds a CLIA Microscopy certificate valid through May 26, 2027 and lists Samantha Anne Mascunana, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336463876
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCAMPEN DERMATOLOGY, LLC
Location Address5102 PAULSEN ST, BLDG. 4Savannah, GA 31405-4601
Mailing Address5102 Paulsen St, Bldg. 4Savannah, GA 31405-4601 · (912) 356-3604 · Fax (912) 356-5801
Phone(912) 356-3604
Fax(912) 356-5801
Organization SubpartNo
Authorized OfficialSamantha Anne MascunanaOffice Manager · (912) 356-3604
Enumeration DateMarch 25, 2010
✔ NPI 1336463876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 031202
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.
5102 PAULSEN ST, Savannah, GA 31405
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Other Identifiers 2

Medicare UPINE16137
Medicare PIN07BBSMS

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Campen Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Campen Dermatology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rebecca Campen, MD
Dermatology
NPI 1023086899
5102 PAULSEN ST BLDG 4
Savannah, GA 31405
(912) 356-3604
✔ PECOS✔ Accepts MedicareSame address

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

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) 11D1012945

Campen Dermatology · Savannah, GA
Active · expires May 26, 2027
CLIA Number11D1012945
Laboratory TypePhysician Office
Certificate Effective DateMay 27, 2025
Certificate Expiration DateMay 26, 2027
Laboratory DirectorRebecca B. Campen MD
Laboratory Phone(912) 356-3604
Laboratory LocationCampen Dermatology5102 Paulsen Street Unit 1, Savannah, GA 31405
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.

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 Campen Dermatology, LLC's NPI number?

The NPI number for Campen Dermatology, LLC is 1336463876. It was assigned to this organization in the NPPES registry on March 25, 2010.

Where is Campen Dermatology, LLC located?

Campen Dermatology, LLC is located at 5102 Paulsen St Bldg. 4, Savannah, GA 31405. The listed phone number is (912) 356-3604.

What is Campen Dermatology, LLC's specialty?

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

Is Campen Dermatology, LLC enrolled in Medicare?

Yes. Campen Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Campen Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Campen Dermatology, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Campen Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1012945) is associated with this NPI, valid through May 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Campen Dermatology, LLC was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.