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ATHENS-OCONEE SKIN CANCER & DERMATOLOGY, LLC
NPI 1790989291
Dermatology - Procedural Dermatology in Watkinsville, GA

Active since June 11, 2007
1582 MARS HILL RD, SUITE A, WATKINSVILLE, GA 30677(706) 769-7546(706) 769-2443 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Athens-oconee Skin Cancer & Dermatology, Llc NPPES

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

ATHENS-OCONEE SKIN CANCER & DERMATOLOGY, LLC (NPI 1790989291) is a healthcare organization registered as a procedural dermatology in Watkinsville, Georgia and active in the NPI registry since June 2007. The organization lists Stella Maries Bulengo, Owner, as its authorized official.

NPPES Registry Identity

NPI1790989291
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameATHENS-OCONEE SKIN CANCER & DERMATOLOGY, LLC
Location Address1582 MARS HILL RD, SUITE AWatkinsville, GA 30677-4836
Mailing Address1582 Mars Hill Rd, Suite AWatkinsville, GA 30677-4836 · (706) 769-7546 · Fax (706) 769-2443
Phone(706) 769-7546
Fax(706) 769-2443
Organization SubpartNo
Authorized OfficialStella Maries BulengoOwner · (706) 769-7546
Enumeration DateJune 11, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1790989291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in GA · 050931
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).
Also ListedDermatologyTaxonomy 207N00000X · License 050931 (GA)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 050931 (GA)

Other Names 1

Other NameOconee Dermatopathology

Other Identifiers 2

Other050931GA · License
Other1194717447Npi Individual

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. CHRISTOPHER PAUL STRICKLAND D.M.D.
Dentist (General Practice)
1582 MARS HILL RD, SUITE B
WATKINSVILLE, GA 30677
Oconee County (706) 769-9779
JAMES A ROONEY MD PC
Dermatology
1582 MARS HILL RD, SUITE A
WATKINSVILLE, GA 30677
Oconee County (706) 769-7546

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 Athens-Oconee Skin Cancer & Dermatology, LLC's NPI number?

The NPI number for Athens-Oconee Skin Cancer & Dermatology, LLC is 1790989291. It was assigned to this organization in the NPPES registry on June 11, 2007. The provider is also known as Oconee Dermatopathology.

Where is Athens-Oconee Skin Cancer & Dermatology, LLC located?

Athens-Oconee Skin Cancer & Dermatology, LLC is located at 1582 Mars Hill Rd Suite A, Watkinsville, GA 30677. The listed phone number is (706) 769-7546.

What is Athens-Oconee Skin Cancer & Dermatology, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Athens-Oconee Skin Cancer & Dermatology, LLC was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.