PEACH DERMATOLOGY, P.C.
NPI 1447901863
Dermatology in Suwanee, GA
About Peach Dermatology, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACH DERMATOLOGY, P.C. (NPI 1447901863) is a healthcare organization registered as a dermatology in Suwanee, Georgia and active in the NPI registry since January 2022. The organization holds a CLIA Certificate of Compliance certificate valid through November 12, 2027 and lists Waqas R Shaikh, President, 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)
Peach Dermatology, P.c. 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 Peach Dermatology, P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
Suwanee, GA 30024
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 11D2260956
Peach Dermatology PC · Suwanee, GAFrequently 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 Peach Dermatology, P.C.'s NPI number?
The NPI number for Peach Dermatology, P.C. is 1447901863. It was assigned to this organization in the NPPES registry on January 17, 2022.
Where is Peach Dermatology, P.C. located?
Peach Dermatology, P.C. is located at 335 Peachtree Industrial Blvd Suite 2210, Suwanee, GA 30024. The listed phone number is (770) 676-2200.
What is Peach Dermatology, P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Peach Dermatology, P.C. enrolled in Medicare?
Yes. Peach Dermatology, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peach Dermatology, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Micrographic Dermatologic Surgery (MDS)) reassigns their Medicare billing to Peach Dermatology, P.C.. 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 Peach Dermatology, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 11D2260956) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Peach Dermatology, P.C. was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.