METRODERM, P.C.
NPI 1942929062
Specialist in Gainesville, GA
About Metroderm, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METRODERM, P.C. (NPI 1942929062) is a healthcare organization registered as a specialist in Gainesville, Georgia and active in the NPI registry since August 2022. The organization maintains 2 additional practice locations and lists Carrie Williams, Director Of Revenue, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Metroderm, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Metroderm, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 34Source: 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 Metroderm, P.C.'s NPI number?
The NPI number for Metroderm, P.C. is 1942929062. It was assigned to this organization in the NPPES registry on August 23, 2022.
Where is Metroderm, P.C. located?
Metroderm, P.C. is located at 974 S Enota Dr NE, Gainesville, GA 30501. The listed phone number is (770) 536-7546.
What is Metroderm, P.C.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Metroderm, P.C. enrolled in Medicare?
Yes. Metroderm, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Metroderm, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 5 Medicare specialties reassign their Medicare billing to Metroderm, P.C.. 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. The largest specialties are Dermatology (22), Nurse Practitioner (5) and Plastic and Reconstructive Surgery (4). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Metroderm, P.C. was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Metroderm, P.c. · NPI 1942929062
Specialist organization in Gainesville, Georgia. Organization record, active in the CMS NPPES registry since August 23, 2022.
## Identity
- **NPI:** 1942929062 (Entity type: Organization)
- **Enumerated:** August 23, 2022
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** Yes (part of Metroderm, P.c.)
- **Authorized official:** Carrie Williams, DIRECTOR OF REVENUE
## Practice location
- **Address:** 974 S ENOTA DR NE, Gainesville, GA 30501-2429
- **Phone:** (770) 536-7546
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (22), Nurse Practitioner (5), Plastic and Reconstructive Surgery (4); 3 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1942929062/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1942929062) · Data from the CMS NPPES public registry.