GEORGIA DERMATOLOGIC SURGERY CENTER, PC
NPI 1720100522
Dermatology - MOHS-Micrographic Surgery in Atlanta, GA

Active since April 04, 2007
5555 PEACHTREE DUNWOODY RD NE, SUITE G65, ATLANTA, GA 30342(404) 943-1996(404) 943-9464 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgia Dermatologic Surgery Center, Pc NPPES

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

GEORGIA DERMATOLOGIC SURGERY CENTER, PC (NPI 1720100522) is a healthcare organization registered as a mohs-micrographic surgery in Atlanta, Georgia and active in the NPI registry since April 2007. The organization lists Mark Francis Baucom, President, as its authorized official.

NPPES Registry Identity

NPI1720100522
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameGEORGIA DERMATOLOGIC SURGERY CENTER, PC
Location Address5555 PEACHTREE DUNWOODY RD NE, SUITE G65Atlanta, GA 30342-1703
Mailing Address5555 Peachtree Dunwoody Rd Ne, Suite G65Atlanta, GA 30342-1703 · (404) 943-1996 · Fax (404) 943-9464
Fax(404) 943-9464
Organization SubpartNo
Authorized OfficialMark Francis BaucomPresident · (404) 943-1996
Enumeration DateApril 4, 2007
Last NPPES UpdateJanuary 5, 2012
NPI 1720100522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

5555 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP3989GA · Group Number For Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Adult Health)
5555 PEACHTREE DUNWOODY RD NE, SUITE 201
ATLANTA, GA 30342
Specialist
5555 PEACHTREE DUNWOODY RD NE, SUITE 190
ATLANTA, GA 30342
Physical Medicine & Rehabilitation (Pain Medicine)
5555 PEACHTREE DUNWOODY RD NE, SUITE G-99
ATLANTA, GA 30342
Dentist (Oral and Maxillofacial Pathology)
5555 PEACHTREE DUNWOODY RD NE, SUITE G56
ATLANTA, GA 30342
Physical Medicine & Rehabilitation (Pain Medicine)
5555 PEACHTREE DUNWOODY RD NE, SUITE G-99
ATLANTA, GA 30342
Otolaryngology
5555 PEACHTREE DUNWOODY RD NE, SUITE 256
ATLANTA, GA 30342
Clinic/Center (Physical Therapy)
5555 PEACHTREE DUNWOODY RD NE, SUITE 201
ATLANTA, GA 30342
Physical Medicine & Rehabilitation (Pain Medicine)
5555 PEACHTREE DUNWOODY RD NE, STE. G99
ATLANTA, GA 30342

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 Georgia Dermatologic Surgery Center, PC's NPI number?

The NPI number for Georgia Dermatologic Surgery Center, PC is 1720100522. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Georgia Dermatologic Surgery Center, PC located?

Georgia Dermatologic Surgery Center, PC is located at 5555 Peachtree Dunwoody Rd NE Suite G65, Atlanta, GA 30342. The listed phone number is (404) 943-1996.

What is Georgia Dermatologic Surgery Center, PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Georgia Dermatologic Surgery Center, PC was last updated on January 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.