LUMERA DERMATOLOGY LLC
NPI 1386407781
Dermatology in Alpharetta, GA

Active since January 30, 2024CLIA 11D2315377 · Waiver
3400 OLD MILTON PKWY STE C370, ALPHARETTA, GA 30005(404) 518-1409 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 9, 2024, Sep 2, 2024 (2 updates tracked since 2024).

About Lumera Dermatology Llc NPPES

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

LUMERA DERMATOLOGY LLC (NPI 1386407781) is a healthcare organization registered as a dermatology in Alpharetta, Georgia and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists Anjali S. Vekaria, Owner, as its authorized official.

NPPES Registry Identity

NPI1386407781
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLUMERA DERMATOLOGY LLC
Location Address3400 OLD MILTON PKWY STE C370Alpharetta, GA 30005-3747
Mailing Address3400 Old Milton Pkwy Ste C370Alpharetta, GA 30005-3747 · (770) 609-4741 · Fax (404) 737-0600
Organization SubpartNo
Authorized OfficialAnjali S. VekariaOwner · (404) 518-1409
Enumeration DateJanuary 30, 2024
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1386407781 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.
3400 OLD MILTON PKWY STE C370, Alpharetta, GA 30005

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lumera 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 Lumera Dermatology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1205195617
3400 OLD MILTON PKWY STE C370
Alpharetta, GA 30005
(404) 737-4500
✔ 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 of Waiver 11D2315377

Lumera Dermatology LLC · Alpharetta, GA
Active · expires Dec 11, 2026
CLIA Number11D2315377
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorAnjali S. Vekaria
Laboratory Phone(404) 737-4500
Laboratory LocationLumera Dermatology LLC3400 Old Milton Parkway, Suite C370, Alpharetta, GA 30005
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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 Lumera Dermatology LLC's NPI number?

The NPI number for Lumera Dermatology LLC is 1386407781. It was assigned to this organization in the NPPES registry on January 30, 2024.

Where is Lumera Dermatology LLC located?

Lumera Dermatology LLC is located at 3400 Old Milton Pkwy Ste C370, Alpharetta, GA 30005. The listed phone number is (404) 518-1409.

What is Lumera Dermatology LLC's specialty?

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

Is Lumera Dermatology LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Lumera Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Lumera 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 Lumera Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2315377) is associated with this NPI, valid through December 11, 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 Lumera Dermatology LLC was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.