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BABCOCK DERMATOLOGY PC
NPI 1750565180
Clinic/Center - Medical Specialty in Atlanta, GA

Active since December 20, 2007CLIA 11D1078951 · Certificate of Compliance
4890 ROSWELL RD NE, SUITE B-10, ATLANTA, GA 30342(216) 647-1370 Get Directions Write a Review

NPPES record last updated: December 20, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Babcock Dermatology Pc NPPES

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

BABCOCK DERMATOLOGY PC (NPI 1750565180) is a healthcare organization registered as a medical specialty in Atlanta, Georgia and active in the NPI registry since December 2007. The organization holds a CLIA Certificate of Compliance certificate valid through May 28, 2028 and lists Melissa Babcock, President, as its authorized official.

NPPES Registry Identity

NPI1750565180
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameBABCOCK DERMATOLOGY PC
Location Address4890 ROSWELL RD NE, SUITE B-10Atlanta, GA 30342-2606
Mailing Address4627 Dalmer Rd NeAtlanta, GA 30342-2725
Phone(216) 647-1370
Organization SubpartNo
Authorized OfficialMelissa BabcockPresident · (678) 927-9027
Enumeration DateDecember 20, 2007
✔ NPI 1750565180 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 · 59368
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).
4890 ROSWELL RD NE, Atlanta, GA 30342
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Babcock Dermatology PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melissa Babcock, MD
Dermatology
NPI 1700800752
4890 ROSWELL RD SUITE B-10
Atlanta, GA 30342
(404) 835-3052
✔ PECOS✔ Accepts MedicareSame address

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 Compliance 11D1078951

Babcock Dermatology · Atlanta, GA
Active · expires May 28, 2028
CLIA Number11D1078951
Laboratory TypePhysician Office
Certificate Effective DateMay 29, 2026
Certificate Expiration DateMay 28, 2028
Laboratory DirectorMelissa Babcock MD
Laboratory Phone(404) 835-3052
Laboratory LocationBabcock Dermatology4890 Roswell Road NE Suite B-10, Atlanta, GA 30342
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Babcock Dermatology PC's NPI number?

The NPI number for Babcock Dermatology PC is 1750565180. It was assigned to this organization in the NPPES registry on December 20, 2007.

Where is Babcock Dermatology PC located?

Babcock Dermatology PC is located at 4890 Roswell Rd NE Suite B-10, Atlanta, GA 30342. The listed phone number is (216) 647-1370.

What is Babcock Dermatology PC's specialty?

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

Is Babcock Dermatology PC enrolled in Medicare?

Yes. Babcock Dermatology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Babcock Dermatology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Babcock Dermatology PC. 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 Babcock Dermatology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D1078951) is associated with this NPI, valid through May 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Babcock Dermatology PC was last updated on December 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.