Organization Active NPI

Atlanta Skin Cancer Specialists, P.C.

  • Medical Specialty Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1073713277
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
050005 Issued in GA
Legal business name
ATLANTA SKIN CANCER SPECIALISTS, P.C.
Practice address
3330 Preston Ridge Rd Ste 280
Alpharetta, GA 30005-4540
Phone
(404) 446-3200
Fax
(404) 446-3201
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Katarina G. Lequeux-Nalovic, M.D.NPI 1124137351
Title
President
Phone
(404) 446-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 050005 GA Primary

Addresses

Primary practice location

3330 Preston Ridge Rd Ste 280
Alpharetta, GA 30005-4540

Mailing address

3330 Preston Ridge Rd Ste 280
Alpharetta, GA 30005-4540
Phone (404) 446-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070919000107 GA Part B Supplier - Clinic/Group Practice 3274627443 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1065312Atlanta Skin Cancer Specialists PC3330 Preston Ridge Road, Suite 280, Alpharetta, GA 30005ComplianceJul 26, 2027

National Provider Directory

National Provider Directory

Locations

3330 Preston Ridge Rd
Ste 280
Alpharetta, GA 30005
Phone (404) 446-3200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDGDAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1073713277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD STE 280",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054540",
            "telephone_number": "404-446-3200",
            "fax_number": "404-446-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD STE 280",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054540",
            "telephone_number": "404-446-3200",
            "fax_number": "404-446-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SKIN CANCER SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "LEQUEUX-NALOVIC",
        "authorized_official_first_name": "KATARINA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-446-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "050005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.