Individual provider Active NPI

Avalon Regalbuto, DO

  • Dermatology Physician
  • Cumming, GA
National Provider Identifier
1124605944
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
104091 Issued in GA
Practice address
515 Peachtree Pkwy Ste 602
Cumming, GA 30041-4806
Phone
(470) 977-2971
Fax
(470) 273-7947
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 104091 GA Primary

Addresses

Primary practice location

515 Peachtree Pkwy Ste 602
Cumming, GA 30041-4806

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

5505 Peachtree Dunwoody Rd Ste 412
Atlanta, GA 30342-1758
Phone (404) 459-9177

Other practice location 2

3000 Celebration Blvd
Suwanee, GA 30024-1054
Phone (470) 977-2971

Other practice location 3

2710 Old Milton Pkwy Ste 100
Alpharetta, GA 30009-2478
Phone (470) 408-3668

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Avalon.Regalbuton@forefrontdermatology.emadirect.md
Direct Messaging Address Avalon.Regalbuton@forefrontdermatology.emadirect.md
Direct Messaging Address Avalon.Regalbuton@forefrontdermatology.emadirect.md
Direct Messaging Address Avalon.Regalbuton@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250602000931 GA Practitioner - Dermatology 8123422680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio University, College of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

515 Peachtree Pkwy
Suite 602
Cumming, GA 30041-4806
Phone (470) 977-2971

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Perimeter Dermatology, PC Current Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jul 1, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Forefront Dermatology, S.C. Dermatology PastSince Jun 29, 2025 Accepting new patients
100 Chiro Rowland, LLC PastSince Jun 29, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

2710 Old Milton Pkwy
Ste 100
Alpharetta, GA 30009
Phone (470) 408-3668

515 Peachtree Pkwy
Ste 602
Cumming, GA 30041
Phone (470) 977-2971

5505 Peachtree Dunwoody Rd
Ste 412
Sandy Springs, GA 30342
Phone (404) 459-9177

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: avalon.regalbuto@forefrontdermatology.emadirect.md
  • Direct secure messaging: avalon.regalbuton@forefrontdermatology.emadirect.md

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1124605944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PEACHTREE PKWY STE 602",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300414806",
            "telephone_number": "470-977-2971",
            "fax_number": "470-273-7947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Peachtree Dunwoody Rd Ste 412",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421758",
            "country_code": "US",
            "telephone_number": "404-459-9177",
            "fax_number": "404-389-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Celebration Blvd",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241054",
            "country_code": "US",
            "telephone_number": "470-977-2971",
            "fax_number": "470-273-7947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Old Milton Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300092478",
            "country_code": "US",
            "telephone_number": "470-408-3668",
            "fax_number": "470-589-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGALBUTO",
        "first_name": "AVALON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "104091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Avalon.Regalbuton@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3000 Celebration Blvd",
            "city": "Suwanee",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300241054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Avalon.Regalbuton@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5505 Peachtree Dunwoody Rd Ste 412",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303421758",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Avalon.Regalbuton@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "515 Peachtree Pkwy Ste 602",
            "city": "Cumming",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300414806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Avalon.Regalbuton@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2710 Old Milton Pkwy Ste 100",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300092478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.