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SPRINGS DERMATOLOGY, LLC
NPI 1679158885
Dermatology - Dermatopathology in Sandy Springs, GA

Active since March 10, 2021CLIA 11D2300673 · Waiver
6400 BLUE STONE RD STE 150, SANDY SPRINGS, GA 30328(470) 769-9400(470) 769-9402 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Springs Dermatology, Llc NPPES

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

SPRINGS DERMATOLOGY, LLC (NPI 1679158885) is a healthcare organization registered as a dermatopathology in Sandy Springs, Georgia and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Gina Delgado, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1679158885
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameSPRINGS DERMATOLOGY, LLC
Location Address6400 BLUE STONE RD STE 150Sandy Springs, GA 30328-4220
Mailing Address6400 Blue Stone Rd Ste 150Sandy Springs, GA 30328-4220 · (470) 769-9400 · Fax (470) 769-9402
Phone(470) 769-9400
Fax(470) 769-9402
Organization SubpartYesParent: Johns Creek Dermatology And Family Medicine, P.c.
Authorized OfficialGina DelgadoBilling Manager · (770) 771-6591
Enumeration DateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
✔ NPI 1679158885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
Also ListedFamily MedicineTaxonomy 207Q00000X
6400 BLUE STONE RD STE 150, Sandy Springs, GA 30328
Open in Google Maps ↗

Other Names 1

Other NameJohns Creek Dermatology And Fa

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..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)

Springs Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Springs Dermatology, LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Shereen Timani Charakawi, M.D.
Dermatology
NPI 1851505077
6300 HOSPITAL PKWY SUITE 100
Johns Creek, GA 30097
(770) 771-6591
✔ PECOS✔ Accepts Medicare15 mi
Ahmad Charkawi, MD
Family Practice
NPI 1982602074
6300 HOSPITAL PARKWAY SUITE 100
Johns Creek, GA 30097
(770) 771-6591
✔ PECOS✔ Accepts Medicare15 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 Waiver 11D2300673

Springs Dermatology · Sandy Springs, GA
Active · expires Mar 13, 2028
CLIA Number11D2300673
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorShereen Timani
Laboratory Phone(470) 769-9400
Laboratory LocationSprings Dermatology6400 Blue Stone Road, Suite 150, Sandy Springs, GA 30328
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Springs Dermatology, LLC's NPI number?

The NPI number for Springs Dermatology, LLC is 1679158885. It was assigned to this organization in the NPPES registry on March 10, 2021. The provider is also known as Johns Creek dermatology and fa.

Where is Springs Dermatology, LLC located?

Springs Dermatology, LLC is located at 6400 Blue Stone Rd Ste 150, Sandy Springs, GA 30328. The listed phone number is (470) 769-9400.

What is Springs Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Springs Dermatology, LLC enrolled in Medicare?

Yes. Springs Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Springs Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Springs Dermatology, LLC, in Dermatology and Family Practice. 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 Springs Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2300673) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Springs Dermatology, LLC accept?

Health plans from Alliant Health Plans, Inc. list Springs Dermatology, LLC 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 Springs Dermatology, LLC was last updated on March 10, 2021. 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.