Individual provider Active NPI

Charya Chhauv by Goldsmith, M.D.

  • Dermatology Physician
  • Lawrenceville, GA
National Provider Identifier
1164742425
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
92888 Issued in GA
Practice address
771 Old Norcross Rd Ste 260
Lawrenceville, GA 30046-4981
Phone
(770) 962-5040
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME116913 FL
Dermatology Physician 207N00000X 92888 GA Primary

Addresses

Primary practice location

771 Old Norcross Rd Ste 260
Lawrenceville, GA 30046-4981

Mailing address

151 Southhall LN Ste 300
Maitland, FL 32751-7172
Phone (407) 875-2080

Other practice location 1

6719 Gall Blvd Ste 106
Zephyrhills, FL 33542-2568
Phone (813) 355-5870

Other practice location 2

27612 Cashford Cir Ste 102
Wesley Chapel, FL 33544-6954
Phone (813) 991-1457

Other identifiers 1

IdentifierTypeStateIssuer
012932100MedicaidFL

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
I20230505001580 GA Practitioner - Dermatology 4486897873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Georgia, LLCGroup PAC ID 9638485782, 15 clinicians

Practice addresses (Care Compare)

771 Old Norcross Rd
Suite 260
Lawrenceville, GA 30046-4981
Phone (770) 962-5040

Merit-based Incentive Payment System (MIPS)

Final score
94.02 of 100Reported as group
Quality
88.03
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision108
Removal of skin lesions416
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92888GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Georgia Dermatology, P.C. Dermatology CurrentSince May 1, 2023 Accepting new patients
Advanced Dermatology of Georgia, LLC Dermatology CurrentSince May 1, 2023 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

771 Old Norcross Rd
Ste 260
Lawrenceville, GA 30046
Phone (770) 962-5040

Interoperability endpoints

  • Direct secure messaging: charya.goldsmith@adcs1.emadirect.md

Organizations & group practices 2

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1164742425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SOUTHHALL LN STE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517172",
            "telephone_number": "407-875-2080",
            "fax_number": "407-650-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD STE 260",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464981",
            "telephone_number": "770-962-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6719 Gall Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335422568",
            "country_code": "US",
            "telephone_number": "813-355-5870",
            "fax_number": "813-355-5891",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27612 Cashford Cir Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446954",
            "country_code": "US",
            "telephone_number": "813-991-1457",
            "fax_number": "813-907-2706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "CHARYA",
        "middle_name": "CHHAUV BY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME116913",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "92888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012932100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.