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HOUSE OF DERMATOLOGY, LLC
NPI 1972243780
Dermatology in Alpharetta, GA

Active since March 30, 2022CLIA 11D2273790 · Certificate of Compliance
55 ROSWELL ST STE 110, ALPHARETTA, GA 30009(404) 721-2418 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About House Of Dermatology, Llc NPPES

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

HOUSE OF DERMATOLOGY, LLC (NPI 1972243780) is a healthcare organization registered as a dermatology in Alpharetta, Georgia and active in the NPI registry since March 2022. The organization holds a CLIA Certificate of Compliance certificate valid through March 19, 2028 and lists Ravi R Patel, Owner, as its authorized official.

NPPES Registry Identity

NPI1972243780
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHOUSE OF DERMATOLOGY, LLC
Location Address55 ROSWELL ST STE 110Alpharetta, GA 30009-1979
Mailing Address5144 Artemesia LnDallas, TX 75209-6242 · (706) 676-4836
Phone(404) 721-2418
Organization SubpartNo
Authorized OfficialRavi R PatelOwner · (706) 676-4836
Enumeration DateMarch 30, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1972243780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
55 ROSWELL ST STE 110, Alpharetta, GA 30009
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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)

House Of Dermatology, Llc 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 House Of Dermatology, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ravi Patel
Dermatology
NPI 1245762103
665 DULUTH HIGHWAY SUITE 401
Lawrenceville, GA 30046
(706) 676-4836
✔ PECOS✔ Accepts Medicare18 mi

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 11D2273790

House Of Dermatology · Alpharetta, GA
Active · expires Mar 19, 2028
CLIA Number11D2273790
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorRavi R. Patel
Laboratory Phone(678) 336-9157
Laboratory LocationHouse Of Dermatology55 Roswell Street Suite 110, Alpharetta, GA 30009
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 House Of Dermatology, LLC's NPI number?

The NPI number for House Of Dermatology, LLC is 1972243780. It was assigned to this organization in the NPPES registry on March 30, 2022.

Where is House Of Dermatology, LLC located?

House Of Dermatology, LLC is located at 55 Roswell St Ste 110, Alpharetta, GA 30009. The listed phone number is (404) 721-2418.

What is House Of Dermatology, LLC's specialty?

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

Is House Of Dermatology, LLC enrolled in Medicare?

Yes. House Of Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through House Of Dermatology, LLC?

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

Yes. A Certificate of Compliance (number 11D2273790) is associated with this NPI, valid through March 19, 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 House Of Dermatology, LLC was last updated on March 30, 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.