GWINNETT DERMATOLOGY PC D/B/A GEORGIA DERMATOLOGY PARTNERS
NPI 1477596203
Dermatology in Snellville, GA
About Gwinnett Dermatology Pc D/b/a Georgia Dermatology Partners NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GWINNETT DERMATOLOGY PC D/B/A GEORGIA DERMATOLOGY PARTNERS (NPI 1477596203) is a healthcare organization registered as a dermatology in Snellville, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through May 23, 2028 and lists Brenda Rann, Credential, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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)
Gwinnett Dermatology Pc D/b/a Georgia Dermatology Partners is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
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) 11D1066161
Gwinnett Dermatology · Loganville, 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 Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners's NPI number?
The NPI number for Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners is 1477596203. It was assigned to this organization in the NPPES registry on June 13, 2006.
Where is Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners located?
Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners is located at 2383 Pate St N, Snellville, GA 30078. The listed phone number is (770) 972-4845.
What is Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners enrolled in Medicare?
Yes. Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners. 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. The largest specialties are Dermatology (9), Nurse Practitioner (3) and Pathology (1). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D1066161) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners 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 Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners was last updated on September 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Gwinnett Dermatology Pc D/b/a Georgia Dermatology Partners · NPI 1477596203
Dermatology organization in Snellville, Georgia. Organization record, active in the CMS NPPES registry since June 13, 2006.
## Identity
- **NPI:** 1477596203 (Entity type: Organization)
- **Enumerated:** June 13, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Brenda Rann, CREDENTIAL
## Practice location
- **Address:** 2383 PATE ST N, Snellville, GA 30078-3250
- **Phone:** (770) 972-4845 · **Fax:** (770) 972-0358
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (9), Nurse Practitioner (3), Pathology (1); 7 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2019
- **Other identifiers:** Other CB2388
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477596203) · Data from the CMS NPPES public registry.