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DERMATOLOGY AND SURGERY SPECIALISTS OF NORTH ATLANTA PC
NPI 1447851357
Dermatology in Marietta, GA

Active since November 06, 2020CLIA 11D0692823 · Certificate of Compliance
4800 OLDE TOWNE PKWY STE 250, MARIETTA, GA 30068(770) 971-3376(770) 578-8567 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dermatology And Surgery Specialists Of North Atlanta Pc NPPES

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

DERMATOLOGY AND SURGERY SPECIALISTS OF NORTH ATLANTA PC (NPI 1447851357) is a healthcare organization registered as a dermatology in Marietta, Georgia and active in the NPI registry since November 2020. The organization holds a CLIA Certificate of Compliance certificate valid through November 2, 2027 and lists Onaopemipo Ofodile, Md, as its authorized official.

NPPES Registry Identity

NPI1447851357
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY AND SURGERY SPECIALISTS OF NORTH ATLANTA PC
Location Address4800 OLDE TOWNE PKWY STE 250Marietta, GA 30068-4428
Mailing Address4800 Olde Towne Pkwy Ste 250Marietta, GA 30068-4428 · (770) 971-3376 · Fax (770) 578-8567
Phone(770) 971-3376
Fax(770) 578-8567
Organization SubpartNo
Authorized OfficialOnaopemipo OfodileMd · (770) 971-3376
Enumeration DateNovember 6, 2020
NPPES CertifiedNovember 6, 2020
✔ NPI 1447851357 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.
4800 OLDE TOWNE PKWY STE 250, Marietta, GA 30068
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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)

Dermatology And Surgery Specialists Of North Atlanta Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology And Surgery Specialists Of North Atlanta PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Edward Chen, MD
Dermatology
NPI 1982133633
4800 OLDE TOWNE PKWY STE 250
Marietta, GA 30068
(770) 971-3376
✔ PECOS✔ Accepts MedicareSame address
Kathleen Viscusi, M.D.
Dermatology
NPI 1972820975
4800 OLDE TOWNE PKWY STE 250
Marietta, GA 30068
(770) 971-3376
✔ PECOS✔ Accepts MedicareSame address
Jabreia James, MD
Dermatology
NPI 1629728142
1364 CLIFTON RD NE
Atlanta, GA 30322
(404) 778-7777
✔ PECOS✔ Accepts Medicare13 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

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 11D0692823

Dermatology & Surgery Specialists Of North Atlanta · Marietta, GA
Active · expires Nov 2, 2027
CLIA Number11D0692823
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorKathleen Viscusi
Laboratory Phone(770) 971-3376
Laboratory LocationDermatology & Surgery Specialists Of North Atlanta4800 Olde Towne Parkway, Suite 250, Marietta, GA 30068
CLIA data matches this NPI record on: Address 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 Dermatology And Surgery Specialists Of North Atlanta PC's NPI number?

The NPI number for Dermatology And Surgery Specialists Of North Atlanta PC is 1447851357. It was assigned to this organization in the NPPES registry on November 6, 2020.

Where is Dermatology And Surgery Specialists Of North Atlanta PC located?

Dermatology And Surgery Specialists Of North Atlanta PC is located at 4800 Olde Towne Pkwy Ste 250, Marietta, GA 30068. The listed phone number is (770) 971-3376.

What is Dermatology And Surgery Specialists Of North Atlanta PC's specialty?

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

Is Dermatology And Surgery Specialists Of North Atlanta PC enrolled in Medicare?

Yes. Dermatology And Surgery Specialists Of North Atlanta PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology And Surgery Specialists Of North Atlanta PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Dermatology And Surgery Specialists Of North Atlanta PC. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology And Surgery Specialists Of North Atlanta PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0692823) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology And Surgery Specialists Of North Atlanta PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Dermatology And Surgery Specialists Of North Atlanta PC 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 Dermatology And Surgery Specialists Of North Atlanta PC was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.