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AESTHETIC DERMATOLOGY AND MOHS SURGERY, LLC
NPI 1477337640
Dermatology in Fairfax, VA

Active since August 21, 2023CLIA 49D2293512 · Certificate of Compliance
2826 OLD LEE HWY STE 150, FAIRFAX, VA 22031(571) 529-5600(571) 529-5656 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aesthetic Dermatology And Mohs Surgery, Llc NPPES

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

AESTHETIC DERMATOLOGY AND MOHS SURGERY, LLC (NPI 1477337640) is a healthcare organization registered as a dermatology in Fairfax, Virginia and active in the NPI registry since August 2023. The organization holds a CLIA Certificate of Compliance certificate valid through October 15, 2026 and lists Adam Jon Tinklepaugh, Dermatologist/owner, as its authorized official.

NPPES Registry Identity

NPI1477337640
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAESTHETIC DERMATOLOGY AND MOHS SURGERY, LLC
Location Address2826 OLD LEE HWY STE 150Fairfax, VA 22031-4323
Mailing Address2826 Old Lee Hwy Ste 150Fairfax, VA 22031-4323 · (571) 529-5600 · Fax (571) 529-5656
Phone(571) 529-5600
Fax(571) 529-5656
Organization SubpartNo
Authorized OfficialAdam Jon TinklepaughDermatologist/owner · (571) 529-5600
Enumeration DateAugust 21, 2023
Last NPPES UpdateOctober 31, 2024
NPPES CertifiedOctober 31, 2024
✔ NPI 1477337640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
2826 OLD LEE HWY STE 150, Fairfax, VA 22031
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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

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 49D2293512

Aesthetic Dermatology And Mohs Surgery, LLC · Fairfax, VA
Active · expires Oct 15, 2026
CLIA Number49D2293512
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorAdam J. Tinklepaugh
Laboratory Phone(571) 529-5600
Laboratory LocationAesthetic Dermatology And Mohs Surgery, LLC2826 Old Lee Hwy, Ste 150, Fairfax, VA 22031
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ADAM JON TINKLEPAUGH M.D.
Dermatology
2826 OLD LEE HWY STE 150
FAIRFAX, VA 22031
Fairfax County (571) 529-5600

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 Aesthetic Dermatology And Mohs Surgery, LLC's NPI number?

The NPI number for Aesthetic Dermatology And Mohs Surgery, LLC is 1477337640. It was assigned to this organization in the NPPES registry on August 21, 2023.

Where is Aesthetic Dermatology And Mohs Surgery, LLC located?

Aesthetic Dermatology And Mohs Surgery, LLC is located at 2826 Old Lee Hwy Ste 150, Fairfax, VA 22031. The listed phone number is (571) 529-5600.

What is Aesthetic Dermatology And Mohs Surgery, LLC's specialty?

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

Does Aesthetic Dermatology And Mohs Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D2293512) is associated with this NPI, valid through October 15, 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 Aesthetic Dermatology And Mohs Surgery, LLC was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.