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GALLOWAY DERMATOLOGIC SURGERY LLC
NPI 1447803424
Dermatology in Alpharetta, GA

Active since July 19, 2019CLIA Certified · 2 labs
3400 OLD MILTON PKWY STE C465, ALPHARETTA, GA 30005(678) 888-4460(678) 888-5533 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2022, Jul 19, 2019 (2 updates tracked since 2019).

About Galloway Dermatologic Surgery Llc NPPES

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

GALLOWAY DERMATOLOGIC SURGERY LLC (NPI 1447803424) is a healthcare organization registered as a dermatology in Alpharetta, Georgia and active in the NPI registry since July 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Ellijay, and lists Trephina Galloway, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1447803424
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGALLOWAY DERMATOLOGIC SURGERY LLC
Location Address3400 OLD MILTON PKWY STE C465Alpharetta, GA 30005-4429
Mailing Address3400 Old Milton Pkwy Ste C465Alpharetta, GA 30005-4429 · (678) 888-4460 · Fax (678) 888-5533
Phone(678) 888-4460
Fax(678) 888-5533
Organization SubpartNo
Authorized OfficialTrephina GallowayOwner Physician · (678) 888-4460
Enumeration DateJuly 19, 2019
Last NPPES UpdateJuly 18, 20222 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1447803424 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 C465, Alpharetta, GA 30005
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Secondary Practice Location 1

Location 1822 Industrial Blvd Ste 200Ellijay, GA 30540-3804 · Phone (678) 888-4460 · Fax (678) 888-5533

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Galloway Dermatologic Surgery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Galloway Dermatologic Surgery 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)

Trephina Galloway, D.O.
Dermatology
NPI 1134224363
3400 OLD MILTON PARKWAY BLDG C SUITE 465
Alpharetta, GA 30005
(678) 888-4460
✔ PECOS✔ Accepts MedicareSame address
Deborah Pietrangelo, FNPC
Nurse Practitioner
NPI 1083783021
101 RIVERSTONE VIS STE 215
Blue Ridge, GA 30513
(706) 946-4227
✔ PECOS✔ Accepts Medicare56 mi

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 2

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 Compliance 11D2266398

Galloway Dermatologic Surgery · Ellijay, GA
Active · expires Mar 7, 2028
CLIA Number11D2266398
Laboratory TypePhysician Office
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorTrephina Galloway
Laboratory Phone(678) 888-4460
Laboratory LocationGalloway Dermatologic Surgery2500 Tails Creek Road, Ellijay, GA 30540
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 11D2169958

Galloway Dermatologic Surgery, LLC · Alpharetta, GA
Active · expires Dec 13, 2026
CLIA Number11D2169958
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorTrephina Galloway
Laboratory Phone(678) 888-4460
Laboratory LocationGalloway Dermatologic Surgery, LLC3400 Old Miton Parkway, Bldg C, Suite 465, Alpharetta, GA 30005
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Galloway Dermatologic Surgery LLC's NPI number?

The NPI number for Galloway Dermatologic Surgery LLC is 1447803424. It was assigned to this organization in the NPPES registry on July 19, 2019.

Where is Galloway Dermatologic Surgery LLC located?

Galloway Dermatologic Surgery LLC is located at 3400 Old Milton Pkwy Ste C465, Alpharetta, GA 30005. The listed phone number is (678) 888-4460.

What is Galloway Dermatologic Surgery LLC's specialty?

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

Is Galloway Dermatologic Surgery LLC enrolled in Medicare?

Yes. Galloway Dermatologic Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Galloway Dermatologic Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Galloway Dermatologic Surgery 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.

Does Galloway Dermatologic Surgery LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Galloway Dermatologic Surgery LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Galloway Dermatologic Surgery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Galloway Dermatologic Surgery LLC was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.