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CARROLLTON DERMATOLOGY
NPI 1699215541
Clinic/Center - Medical Specialty in Carrollton, GA

Active since February 26, 2017CLIA 11D2144831 · Certificate of Compliance
100 PROFESSIONAL PL, STE 110, CARROLLTON, GA 30117(770) 834-0818(770) 834-5098 Get Directions Write a Review

NPPES record last updated: February 26, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carrollton Dermatology NPPES

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

CARROLLTON DERMATOLOGY (NPI 1699215541) is a healthcare organization registered as a medical specialty in Carrollton, Georgia and active in the NPI registry since February 2017. The organization holds a CLIA Certificate of Compliance certificate valid through January 16, 2027 and lists Mary M Feldman, Owner, as its authorized official.

NPPES Registry Identity

NPI1699215541
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMARY M FELDMAN MD LLC
Location Address100 PROFESSIONAL PL, STE 110Carrollton, GA 30117-3874
Mailing Address100 Professional Pl, Ste 110Carrollton, GA 30117-3874 · (770) 834-0818 · Fax (770) 834-5098
Phone(770) 834-0818
Fax(770) 834-5098
Organization SubpartNo
Authorized OfficialMary M FeldmanOwner · (504) 231-5544
Enumeration DateFebruary 26, 2017
✔ NPI 1699215541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in GA · 69043
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
100 PROFESSIONAL PL, Carrollton, GA 30117
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Other Names 1

Doing Business AsCarrollton Dermatology

Other Identifiers 1

Medicare UPINH65098GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2144831

Carrollton Dermatology & Skin Cancer Associates · Carrollton, GA
Active · expires Jan 16, 2027
CLIA Number11D2144831
Laboratory TypePhysician Office
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorMary M. Feldman
Laboratory Phone(770) 834-0818
Laboratory LocationCarrollton Dermatology & Skin Cancer Associates410 Dixie Street, Carrollton, GA 30117
CLIA data matches this NPI record on: 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 19

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

CRNG,LLC
Internal Medicine (Interventional Cardiology)
100 PROFESSIONAL PL, SUITE 303
CARROLLTON, GA 30117
Carroll County (770) 838-8440
DR. LAURA LAMB LARSON MD
Internal Medicine (Infectious Disease)
100 PROFESSIONAL PL, SUITE 301
CARROLLTON, GA 30117
Carroll County (770) 812-5837
JACK W MILLER M.D
Pediatrics (Developmental - Behavioral Pediatrics)
100 PROFESSIONAL PL, STE 104
CARROLLTON, GA 30117
Carroll County (770) 830-7039
DR. JACK CREWS M.D.
Internal Medicine
100 PROFESSIONAL PL, SUITE 204
CARROLLTON, GA 30117
Carroll County (770) 384-3351
STEPHEN CHRISTOPHER DUDLEY MD
Psychiatry & Neurology (Psychiatry)
100 PROFESSIONAL PL, 303
CARROLLTON, GA 30117
Carroll County (770) 812-5793
GREGORY BENJAMIN FLOYD M.D.
Family Medicine
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 832-6861
JEFFERSON TAYLOR GORDON M.D.
Family Medicine
100 PROFESSIONAL PL, SUITE 202
CARROLLTON, GA 30117
Carroll County (770) 832-6861
SIMS PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
100 PROFESSIONAL PL, SUITE 101
CARROLLTON, GA 30117
Carroll County (770) 834-4456

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 Mary M Feldman MD LLC's NPI number?

The NPI number for Mary M Feldman MD LLC is 1699215541. It was assigned to this organization in the NPPES registry on February 26, 2017. The provider is doing business as Carrollton Dermatology.

Where is Mary M Feldman MD LLC located?

Mary M Feldman MD LLC is located at 100 Professional Pl Ste 110, Carrollton, GA 30117. The listed phone number is (770) 834-0818.

What is Mary M Feldman MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Mary M Feldman MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2144831) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mary M Feldman MD LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mary M Feldman MD 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 Mary M Feldman MD LLC was last updated on February 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.