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DECATUR DERMATOLOGY & AESTHETICS LLC
NPI 1972467744
Dermatology in Decatur, GA

Active since December 15, 2025CLIA 11D2343047 · Certificate of Compliance
150 E PONCE DE LEON AVE STE 150, DECATUR, GA 30030(404) 566-5056(404) 566-5046 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Dec 15, 2025 (2 updates tracked since 2025).

About Decatur Dermatology & Aesthetics Llc NPPES

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

DECATUR DERMATOLOGY & AESTHETICS LLC (NPI 1972467744), doing business as Decatur Dermatology & Aesthetics, is a healthcare organization registered as a dermatology in Decatur, Georgia and active in the NPI registry since December 2025. The organization holds a CLIA Certificate of Compliance certificate valid through April 29, 2028 and lists Kelli Ingram Baender, Founder And Medical Director, as its authorized official.

NPPES Registry Identity

NPI1972467744
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDECATUR DERMATOLOGY & AESTHETICS LLC
Location Address150 E PONCE DE LEON AVE STE 150Decatur, GA 30030-2566
Mailing Address216 Glendale AveDecatur, GA 30030-1918 · (404) 566-5056 · Fax (404) 566-5046
Phone(404) 566-5056
Fax(404) 566-5046
Organization SubpartNo
Authorized OfficialKelli Ingram BaenderFounder And Medical Director · (404) 566-5056
Enumeration DateDecember 15, 2025
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1972467744 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.
150 E PONCE DE LEON AVE STE 150, Decatur, GA 30030
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Other Names 3

Doing Business AsDecatur Dermatology & Aesthetics
Other NameDecatur Dermatology
Other NameDecatur Dermatology & Aesthetics, Llc

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

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 11D2343047

Decatur Dermatology & Aesthetics, LLC · Decatur, GA
Active · expires Apr 29, 2028
CLIA Number11D2343047
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorKelli I. Baender
Laboratory Phone(404) 566-5056
Laboratory LocationDecatur Dermatology & Aesthetics, LLC150 E Ponce De Leon Avenue, Suite 150, Decatur, GA 30030
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

DR. KELLI INGRAM BAENDER M.D.
Dermatology
150 E PONCE DE LEON AVE STE 150
DECATUR, GA 30030
Dekalb County (404) 566-5056

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 Decatur Dermatology & Aesthetics LLC's NPI number?

The NPI number for Decatur Dermatology & Aesthetics LLC is 1972467744. It was assigned to this organization in the NPPES registry on December 15, 2025. The provider is doing business as Decatur Dermatology & Aesthetics. The provider is also known as Decatur Dermatology and Decatur Dermatology & Aesthetics, LLC.

Where is Decatur Dermatology & Aesthetics LLC located?

Decatur Dermatology & Aesthetics LLC is located at 150 E Ponce De Leon Ave Ste 150, Decatur, GA 30030. The listed phone number is (404) 566-5056.

What is Decatur Dermatology & Aesthetics LLC's specialty?

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

Does Decatur Dermatology & Aesthetics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D2343047) is associated with this NPI, valid through April 29, 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 Decatur Dermatology & Aesthetics LLC was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.