CENTER FOR DERMATOLOGY, LLC
NPI 1538396577
Dermatology - Procedural Dermatology in Lawrenceville, GA

NPI Status: Active since June 17, 2009

Contact Information

721 WELLNESS WAY STE 210
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 682-2500
Fax: (770) 682-2014

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  • Organization
  • Dermatology
  • Procedural Dermatology
  • CLIA Number: 11D2004652
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-09-2028

About CENTER FOR DERMATOLOGY, LLC

This page provides the complete NPI Profile along with additional information for Center For Dermatology, Llc, a provider established in Lawrenceville, Georgia operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1538396577 assigned on June 2009. The practitioner's primary taxonomy code is 207NS0135X with license number 047327 (GA). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Abdul Hafeez M.d. (Managing Member)

NPI
1538396577
Provider Name
CENTER FOR DERMATOLOGY, LLC
Entity Type
Organization
Location Address
721 WELLNESS WAY STE 210 LAWRENCEVILLE, GA 30046
Location Phone
(770) 682-2500
Location Fax
(770) 682-2014
Mailing Address
721 WELLNESS WAY STE 210 LAWRENCEVILLE, GA 30046
Mailing Phone
(770) 682-2500
Mailing Fax
(770) 682-2014
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-17-2009
Last Update Date
12-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
047327
License State
GA
Taxonomy Description
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ABDUL HAFEEZ M.D.

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(678) 476-5228

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2004652
Facility Type
Physician Office
Certificate Effective Date
March 10, 2026
Certificate Expiration Date
March 09, 2028
Laboratory Director
ABDUL HAFEEZ
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Center For Dermatology, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538396577, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 6 → 12 → 3 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 6 + 9 + 1 + 2 + 5 + 1 + 4 + 24 = 73

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 73 is 80. The difference is the calculated check digit.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1538396577.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
721 WELLNESS WAY STE 210
LAWRENCEVILLE, GA 30046
Internal Medicine (Interventional Cardiology)
721 WELLNESS WAY STE 210
LAWRENCEVILLE, GA 30046
Dermatology (Procedural Dermatology)
721 WELLNESS WAY STE 210
LAWRENCEVILLE, GA 30046

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538396577, enumerated as an "organization" on June 17, 2009.

The provider is located at 721 WELLNESS WAY STE 210 LAWRENCEVILLE, GA 30046 and the phone number is (770) 682-2500.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.