ATLANTA SKIN AND AESTHETICS
NPI 1780872556
Dermatology - Procedural Dermatology in Atlanta, GA

Active since October 05, 2007
5671 PEACHTREE DUNWOODY RD STE 660, ATLANTA, GA 30342(404) 252-4110(404) 252-2188 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 25, 2024, Mar 15, 2019 (2 updates tracked since 2019).

About Atlanta Skin And Aesthetics NPPES

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

ATLANTA SKIN AND AESTHETICS (NPI 1780872556) is a healthcare organization registered as a procedural dermatology in Atlanta, Georgia and active in the NPI registry since October 2007. The organization lists Richard Edgar Nix, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1780872556
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameATLANTA SKIN AND AESTHETICS
Location Address5671 PEACHTREE DUNWOODY RD STE 660Atlanta, GA 30342-5006
Mailing Address1100 Johnson Ferry Rd Ste 465Atlanta, GA 30342-1709 · (404) 252-4110 · Fax (404) 252-2188
Fax(404) 252-2188
Organization SubpartNo
Authorized OfficialRichard Edgar NixBusiness Manager · (404) 252-4110
Enumeration DateOctober 5, 2007
Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1780872556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
5671 PEACHTREE DUNWOODY RD STE 660, Atlanta, GA 30342

Other Names 1

Doing Business AsAtlanta Skin And Aesthetics

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Atlanta Skin And Aesthetics 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 Atlanta Skin And Aesthetics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1467406082
5671 PEACHTREE DUNWOODY RD STE 660
Atlanta, GA 30342
(404) 252-4110
✔ 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.

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 Atlanta Skin And Aesthetics's NPI number?

The NPI number for Atlanta Skin And Aesthetics is 1780872556. It was assigned to this organization in the NPPES registry on October 5, 2007.

Where is Atlanta Skin And Aesthetics located?

Atlanta Skin And Aesthetics is located at 5671 Peachtree Dunwoody Rd Ste 660, Atlanta, GA 30342. The listed phone number is (404) 252-4110.

What is Atlanta Skin And Aesthetics's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Atlanta Skin And Aesthetics enrolled in Medicare?

Yes. Atlanta Skin And Aesthetics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlanta Skin And Aesthetics?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Atlanta Skin And Aesthetics. 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.

When was this NPI record last updated?

The NPPES record for Atlanta Skin And Aesthetics was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.