ADVANCED DERMATOLOGY AT SKINCARE 5TH AVENUE, LLC
NPI 1366277436
Dermatology in Peachtree City, GA
About Advanced Dermatology At Skincare 5th Avenue, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY AT SKINCARE 5TH AVENUE, LLC (NPI 1366277436) is a healthcare organization registered as a dermatology in Peachtree City, Georgia and active in the NPI registry since September 2024. The organization lists Joseph Galitzin, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Dermatology At Skincare 5th Avenue, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Dermatology At Skincare 5th Avenue, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Advanced Dermatology At Skincare 5th Avenue, LLC's NPI number?
The NPI number for Advanced Dermatology At Skincare 5th Avenue, LLC is 1366277436. It was assigned to this organization in the NPPES registry on September 6, 2024.
Where is Advanced Dermatology At Skincare 5th Avenue, LLC located?
Advanced Dermatology At Skincare 5th Avenue, LLC is located at 2579 Highway 54, Peachtree City, GA 30269. The listed phone number is (770) 487-2645.
What is Advanced Dermatology At Skincare 5th Avenue, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Advanced Dermatology At Skincare 5th Avenue, LLC enrolled in Medicare?
Yes. Advanced Dermatology At Skincare 5th Avenue, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Dermatology At Skincare 5th Avenue, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Dermatology At Skincare 5th Avenue, LLC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Advanced Dermatology At Skincare 5th Avenue, LLC was last updated on September 6, 2024. 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.