Decatur Dermatology & Aesthetics LLC
NPI 1972467744ActiveOrganization· Dermatology· Decatur, GA
Dermatology in Decatur, Georgia, registered in NPPES in December 2025. The authorized official on file is Kelli Ingram Baender, MD, Founder And Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1972467744 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 15, 2025 |
| Last updated in NPPES | Jun 8, 2026 |
| Certified by provider | Jun 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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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