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

ASC of Georgia Dermatologic Surgery

Organization Ambulatory Surgical Clinic/Center · NPI 1356429765

ASC of Georgia Dermatologic Surgery is an Ambulatory Surgical Clinic/Center in Atlanta, Georgia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

5555 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 30342-1724
Phone: (404) 844-0496
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 number1356429765
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Baucom — President · (404) 844-0496
Other names Asc Of Baucom & Mina Derm Surgery
NPI enumeratedNovember 2, 2006
Last updated in NPPESDecember 13, 2023
Certification dateDecember 13, 2023
Mailing address5555 Peachtree Dunwoody Rd Ste 220, Atlanta, GA 30342-1724

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