Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

ASC of Baucom & Mina Derm Surgery Johns Creek LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1013601517

ASC of Baucom & Mina Derm Surgery Johns Creek LLC is an Ambulatory Surgical Clinic/Center in Johns Creek, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10750 Medlock Bridge Rd Ste 102
Johns Creek, GA 30097-1705
Phone: (470) 545-2124
Fax: (404) 844-0499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1013601517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Baucom — Owner · (404) 844-0496
NPI enumeratedJune 7, 2023
Last updated in NPPESDecember 13, 2023
Certification dateAugust 15, 2023
Mailing address5555 Peachtree Dunwoody Rd Ste 206, Atlanta, GA 30342-1711

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