Kelli Ingram Baender, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

60105 Issued in GA

Practice address

150 E Ponce de Leon Ave Ste 150
Decatur, GA 30030-2566

Phone

(404) 566-5056

Fax

(404) 566-5046

NPI assigned

Jan 5, 2006

Last updated

May 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Medical College of Georgia School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Douglas Dermatology and Skin Cancer Specialists LLCGroup PAC ID 1658680764, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Douglas Dermatology and Skin Cancer Specialists LLC

  • Dermatology Physician
  • Douglasville, GA
  • NPI 1275929267
  Medicare reassignment Care Compare group NPD
• Georgia Dermatology Specialists PC

  dba Olansky Dermatology Associates

  • Specialist
  • Atlanta, GA
  • NPI 1558380527
  Medicare reassignment NPD
• Decatur Dermatology & Aesthetics LLC

  dba Decatur Dermatology & Aesthetics

  • Dermatology Physician
  • Decatur, GA
  • NPI 1972467744
  NPD Authorized official
• Gwinnett Dermatology PC D/B/a Georgia Dermatology Partners

  • Dermatology Physician
  • Snellville, GA
  • NPI 1477596203
  NPD (past)
• Wesley S Wilborn MD PC

  dba Metro Atlanta Dermatology Group

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1750554978
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1093793416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GLENDALE AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301918",
            "telephone_number": "678-480-4095",
            "fax_number": "404-566-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PONCE DE LEON AVE STE 150",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302566",
            "telephone_number": "404-566-5056",
            "fax_number": "404-566-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAENDER",
        "first_name": "KELLI",
        "middle_name": "INGRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "60105",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "60105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Joyce Bacon
• Bjorn Erik Bade
• Thomas Keen Badger, RN
• Fareedah Omowonuola Badmus
• Barath Ram Badrinathan, MD
• Bethany Joy Bagley, BS
• Rosanna Puran Bahadur, M.D.
• Vivian Carla Bailey Quinn, LCSW
• Bryant Bernard Bailey Jr.
• Elizabeth Louise Bailey

• Dermatology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.