P Praxis·MD
● Active Type 1 · Individual

DR. Kathleen Sikora Viscusi, M.D.

Dermatology·Marietta, GA· NPI 1972820975 · Enumerated 2010 · 16 years on NPI
Viscusi is 1 of 5 dermatology providers in Marietta and 1 of 55 in Georgia.
NPI age
16 years
Enumerated 2010-04-29
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 55 active dermatology providers in Georgia.

NPI age
16 years
↓ 3 yr below median (19 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 65% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-04Enumerated in NPPES
2010 2026

Where they practice

Practice location
4800 Olde Towne Pkwy Ste 250
Marietta, GA 300684428
📞 7709713376
Mailing address
4800 Olde Towne Pkwy Ste 250
Marietta, GA 300684428
📞 7709713376fax 7705788567

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2045 Peachtree Rd Ne Ste 200
Atlanta, GA 30309
📞 4043517546fax 4043512993

Specialties

  • Dermatology Primary
    The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased...
    GA license #074424 taxonomy 207ND0101X
  • Dermatology
    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...
    GA license #074424 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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