Premier Dermatology and Mohs Surgery of Atlanta LLC
NPI 1588118574ActiveOrganization· Dermatology· Alpharetta, GA
Dermatology in Alpharetta, Georgia, registered in NPPES in August 2016. The authorized official on file is Brent Robert Taylor, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588118574 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2016 |
| Last updated in NPPES | Sep 6, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 73661 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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