P Praxis·MD
● Active Type 2 · Organization

Asc Of Georgia Dermatologic Surgery

Clinic/Center·Atlanta, GA· NPI 1356429765 · Enumerated 2006 · 19 years on NPI
Asc Of Georgia Dermatologic Surgery is 1 of 602 clinic/center organizations in Georgia.
NPI age
19 years
Enumerated 2006-11-02
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Baucom
President
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
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
5555 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 303421724
📞 4048440496fax 4048440499
Mailing address
5555 Peachtree Dunwoody Rd Ste 220
Atlanta, GA 303421724
📞 4048440496fax 4048440499

Authorized official

Mark Baucom, M.D.
President
📞 4048440496

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA1903X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • ASC of Baucom & Mina Derm Surgery
    Type code 3 recorded 2023-12-13

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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