Active NPI
Charya Chhauv by Goldsmith, M.D.
- Dermatology Physician
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 92888
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012932100 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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 100
- Quality
- 88.03
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 108 |
| Removal of skin lesions | 416 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92888 | GA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Georgia Dermatology, P.C. | Dermatology | Current | Accepting new patients |
| Advanced Dermatology of Georgia, LLC | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Albany, GA
- NPI 1184005068
Dermatology, GA
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.