Organization provider

JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C.

Dermatology Physician Dermatopathology Physician Family Medicine Physician Medicare enrolled

JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1053565580, based in Johns Creek, GA. The organization lists 4 taxonomy classifications, with Dermatology Physician recorded as primary.

Getting there

The practice address on file is 6300 HOSPITAL PKWY STE 100, Johns Creek, GA 30097. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

6300 HOSPITAL PKWY STE 100, Johns Creek, GA 30097 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
061526 GA Dermatology Physician primary
061526 GA Dermatopathology Physician
061566 GA Family Medicine Physician
061566 GA Geriatric Medicine (Family Medicine)…

This provider holds licence 061526 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
2668521048

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dermatology covers

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 dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. NUCC Health Care Provider Taxonomy, code 207N00000X
Allopathic & Osteopathic Physicians Dermatology

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207N00000X Dermatology Physician 061526 GA primary
207ND0900X Dermatopathology Physician Dermatopathology 061526 GA
207Q00000X Family Medicine Physician 061566 GA
207QG0300X Geriatric Medicine (Family Medicine) Physician Geriatric Medicine 061566 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1053565580 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateNov 11, 2008
Last updatedOct 5, 2010
StatusActive
Practice address 6300 HOSPITAL PKWY
STE 100
Johns Creek, GA 30097
(770) 771-6591
Fax (770) 771-6599
Other identifiers 1982602074 · DR. AHMAD CHARKAWI (GA)
1851505077 · DR SHEREEN TIMANI (GA)
437442038A (GA)
This record was last updated on Oct 5, 2010, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1053565580 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 5 6 5 5 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 1 6 1 5 7

Sum = 50 · next multiple of 10 = 50 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053565580?
NPI 1053565580 is the National Provider Identifier assigned to JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C. in Johns Creek, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dermatology Physician cover?
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 dermatologist has had additional training and experience in the diagnosis and treatment of…
How do I contact JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C.?
The phone number on file with NPPES is (770) 771-6591, last updated Oct 5, 2010. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053565580 a valid number?
Yes. 1053565580 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.