NPI age
2 years
Enumerated 2023-06-07
● Active Type 2 · Organization
Asc Of Baucom & Mina Derm Surgery Johns Creek Llc
Asc Of Baucom & Mina Derm Surgery Johns Creek Llc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Baucom
Owner
Last NPPES update
2023-12-13
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
2 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-06Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
10750 Medlock Bridge Rd Ste 102
Johns Creek, GA 300971705
Mailing address
5555 Peachtree Dunwoody Rd Ste 206
Atlanta, GA 303421711
Authorized official
Mark F Baucom, MD
Owner
📞 4048440496
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.