DERMATOLOGY & SKIN CANCER PREVENTION CENTER, INC.
NPI 1710213947
Specialist in Stockbridge, GA

Q: What is Dermatology & Skin Cancer Prevention Center, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 22, 2009

1215 EAGLES LANDING PARKWAY, SUITE 205, STOCKBRIDGE, GA 30281(770) 389-9116(770) 506-4580 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dermatology & Skin Cancer Prevention Center, Inc. NPPES

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

DERMATOLOGY & SKIN CANCER PREVENTION CENTER, INC. (NPI 1710213947) is a healthcare organization registered as a specialist in Stockbridge, Georgia and active in the NPI registry since October 2009. The organization lists David S. Bryant, Owner, as its authorized official.

NPPES Registry Identity

NPI1710213947

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDERMATOLOGY & SKIN CANCER PREVENTION CENTER, INC.

Location Address1215 EAGLES LANDING PARKWAY, SUITE 205Stockbridge, GA 30281-7280

Mailing Address1215 Eagles Landing Parkway, Suite 205Stockbridge, GA 30281-7280 · (770) 389-9116 · Fax (770) 506-4580

Phone(770) 389-9116

Fax(770) 506-4580

Organization SubpartNo

Authorized OfficialDavid S. BryantOwner · (770) 389-9116

Enumeration DateOctober 22, 2009

Last NPPES UpdateMarch 23, 2011

✔ NPI 1710213947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in GA · 052394✔ Licensed in GA · 005538

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1215 EAGLES LANDING PARKWAY, Stockbridge, GA 30281

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Other Identifiers 3

Medicare PIN202-G701235GA

Medicare UPIN07BBSSP

Medicare UPINP1612

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology & Skin Cancer Prevention Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dermatology & Skin Cancer Prevention Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

David Bryant, M.D.

Dermatology

NPI 1255382701

1215 EAGLES LANDING PKWY SUITE 205
Stockbridge, GA 30281

(770) 389-9116

✔ PECOS✔ Accepts MedicareSame address

Eric Dennin, APRN

Nurse Practitioner

NPI 1710489018

1365 ROCK QUARRY RD
Stockbridge, GA 30281

(678) 603-3765

✔ PECOS0.6 mi

Danielle Um, MSN RN APRN AGPCNP-C

Nurse Practitioner

NPI 1508493974

10680 MEDLOCK BRIDGE RD STE 102
Johns Creek, GA 30097

(770) 389-9116

✔ PECOS37 mi

Ilene Bayer-Garner, MD

Pathology

NPI 1003895764

285 BERRYWOOD DR
Severna Park, MD 21146

(443) 926-4251

✔ PECOS✔ Accepts Medicare576 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dermatology & Skin Cancer Prevention Center, Inc.'s NPI number?

The NPI number for Dermatology & Skin Cancer Prevention Center, Inc. is 1710213947. It was assigned to this organization in the NPPES registry on October 22, 2009.

Where is Dermatology & Skin Cancer Prevention Center, Inc. located?

Dermatology & Skin Cancer Prevention Center, Inc. is located at 1215 Eagles Landing Parkway Suite 205, Stockbridge, GA 30281. The listed phone number is (770) 389-9116.

What is Dermatology & Skin Cancer Prevention Center, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Dermatology & Skin Cancer Prevention Center, Inc. enrolled in Medicare?

Yes. Dermatology & Skin Cancer Prevention Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology & Skin Cancer Prevention Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dermatology & Skin Cancer Prevention Center, Inc., in Dermatology, Nurse Practitioner and Pathology. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dermatology & Skin Cancer Prevention Center, Inc. was last updated on March 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.