SKIN WELLNESS DERMATOLOGY LC
NPI 1871455121
Dermatology in Dallas, GA

Active since November 25, 2025
12 PACES LAKES OVERLOOK, DALLAS, GA 30157(770) 765-2386 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Skin Wellness Dermatology Lc NPPES

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

SKIN WELLNESS DERMATOLOGY LC (NPI 1871455121) is a healthcare organization registered as a dermatology in Dallas, Georgia and active in the NPI registry since November 2025. The organization lists Evelina Pierce, Owner, as its authorized official.

NPPES Registry Identity

NPI1871455121
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN WELLNESS DERMATOLOGY LC
Location Address12 PACES LAKES OVERLOOKDallas, GA 30157-1764
Mailing Address12 Paces Lakes OverlookDallas, GA 30157-1764
Organization SubpartNo
Authorized OfficialEvelina PierceOwner · (770) 765-2386
Enumeration DateNovember 25, 2025
NPPES CertifiedNovember 25, 2025
NPI 1871455121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
12 PACES LAKES OVERLOOK, Dallas, GA 30157

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

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 Skin Wellness Dermatology Lc's NPI number?

The NPI number for Skin Wellness Dermatology Lc is 1871455121. It was assigned to this organization in the NPPES registry on November 25, 2025.

Where is Skin Wellness Dermatology Lc located?

Skin Wellness Dermatology Lc is located at 12 Paces Lakes Overlook, Dallas, GA 30157. The listed phone number is (770) 765-2386.

What is Skin Wellness Dermatology Lc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Skin Wellness Dermatology Lc was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.