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CHATHAM DERMATOLOGY LLC
NPI 1407272511
Dermatology in Savannah, GA

Active since March 13, 2014CLIA 11D0895426 · Microscopy
820 E 67TH ST, SAVANNAH, GA 31405(912) 355-9818(912) 356-9878 Get Directions Write a Review

NPPES record last updated: March 13, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Chatham Dermatology Llc NPPES

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

CHATHAM DERMATOLOGY LLC (NPI 1407272511) is a healthcare organization registered as a dermatology in Savannah, Georgia and active in the NPI registry since March 2014. The organization holds a CLIA Microscopy certificate valid through December 7, 2026 and lists Tonya L Mccullough, Owner, as its authorized official.

NPPES Registry Identity

NPI1407272511
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCHATHAM DERMATOLOGY LLC
Location Address820 E 67TH STSavannah, GA 31405-4611
Mailing Address820 E 67th StSavannah, GA 31405-4611 · (912) 355-9818 · Fax (912) 356-9878
Phone(912) 355-9818
Fax(912) 356-9878
Organization SubpartNo
Authorized OfficialTonya L McculloughOwner · (912) 355-9818
Enumeration DateMarch 13, 2014
✔ NPI 1407272511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in GA · 034016
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.
820 E 67TH ST, Savannah, GA 31405
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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)

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

Clinician (1)

Tonya Mccullough, M.D.
Dermatology
NPI 1417064171
820 E 67TH ST
Savannah, GA 31405
(912) 355-9818
✔ 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) 11D0895426

Chatham Dermatology · Savannah, GA
Active · expires Dec 7, 2026
CLIA Number11D0895426
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2024
Certificate Expiration DateDecember 7, 2026
Laboratory DirectorTonya L. Mccullough MD
Laboratory Phone(912) 355-9818
Laboratory LocationChatham Dermatology820 East 67th Street, 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 Chatham Dermatology LLC's NPI number?

The NPI number for Chatham Dermatology LLC is 1407272511. It was assigned to this organization in the NPPES registry on March 13, 2014.

Where is Chatham Dermatology LLC located?

Chatham Dermatology LLC is located at 820 E 67th St, Savannah, GA 31405. The listed phone number is (912) 355-9818.

What is Chatham Dermatology LLC's specialty?

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

Is Chatham Dermatology LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Chatham Dermatology LLC?

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0895426) is associated with this NPI, valid through December 7, 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 Chatham Dermatology LLC was last updated on March 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.