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DERMATOLOGY AFFILIATES, LLC
NPI 1730244872
Specialist in Atlanta, GA

Active since December 27, 2006CLIA 11D2309942 · Waiver
3131 MAPLE DR NE, SUITE 102, ATLANTA, GA 30305(404) 816-7900(404) 816-7929 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dermatology Affiliates, Llc NPPES

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

DERMATOLOGY AFFILIATES, LLC (NPI 1730244872) is a healthcare organization registered as a specialist in Atlanta, Georgia and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 22, 2026 and lists Virginia Rutledge Forney, Director/officer, as its authorized official.

NPPES Registry Identity

NPI1730244872
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDERMATOLOGY AFFILIATES, LLC
Location Address3131 MAPLE DR NE, SUITE 102Atlanta, GA 30305
Mailing AddressPo Box 52226Atlanta, GA 30355-0226 · (404) 816-7900 · Fax (404) 816-7929
Phone(404) 816-7900
Fax(404) 816-7929
Organization SubpartNo
Authorized OfficialVirginia Rutledge ForneyDirector/officer · (404) 816-7900
Enumeration DateDecember 27, 2006
Last NPPES UpdateAugust 29, 2018
✔ NPI 1730244872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in GA · 044218
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.
3131 MAPLE DR NE, Atlanta, GA 30305
Open in Google Maps ↗

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

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 Waiver 11D2309942

Dermatology Affiliates Research Institute · Atlanta, GA
Active · expires Aug 22, 2026
CLIA Number11D2309942
Laboratory TypeClinical Research
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorVirginia R. Forney
Laboratory Phone(612) 502-4310
Laboratory LocationDermatology Affiliates Research Institute3131 Maple Drive, NE, Suite 201, Atlanta, GA 30305
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

LINDSEY KYLE SMITH
Nurse Practitioner (Family)
3131 MAPLE DR NE
ATLANTA, GA 30305
Fulton County (404) 841-8450
MS. KRYSTIN A. BRINKER PA-C
Physician Assistant (Surgical)
3131 MAPLE DR NE
ATLANTA, GA 30305
Fulton County (404) 841-8450
DR. CAROL M WOLFF D.D.S.,P.C.
Dentist (General Practice)
3131 MAPLE DR NE, SUITE 200
ATLANTA, GA 30305
Fulton County (404) 237-0497
VIRGINIA RUTLEDGE FORNEY M.D.
Specialist
3131 MAPLE DR NE, SUITE102
ATLANTA, GA 30305
Fulton County (404) 816-7900
RACHEL BRYAN NP
Plastic Surgery
3131 MAPLE DR NE
ATLANTA, GA 30305
Fulton County (404) 841-8450
SUMAYAH JAMILA TALIAFERRO MD
Dermatology
3131 MAPLE DR NE, SUITE 102
ATLANTA, GA 30305
Fulton County (404) 816-7900
HAILEE B SANDERS PA-C
Physician Assistant (Medical)
3131 MAPLE DR NE, SUITE 102
ATLANTA, GA 30305
Fulton County (404) 816-7900
DR. JENNIFER L HUNDLEY MD
Dermatology
3131 MAPLE DR NE, SUITE 102
ATLANTA, GA 30305
Fulton County (404) 816-7900

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 Affiliates, LLC's NPI number?

The NPI number for Dermatology Affiliates, LLC is 1730244872. It was assigned to this organization in the NPPES registry on December 27, 2006.

Where is Dermatology Affiliates, LLC located?

Dermatology Affiliates, LLC is located at 3131 Maple Dr NE Suite 102, Atlanta, GA 30305. The listed phone number is (404) 816-7900.

What is Dermatology Affiliates, LLC's specialty?

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

Does Dermatology Affiliates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2309942) is associated with this NPI, valid through August 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Affiliates, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dermatology Affiliates, 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 Dermatology Affiliates, LLC was last updated on August 29, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.