Family Skin Specialists LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FAMILY SKIN SPECIALISTS LLC

Practice address

3225 Cumberland Blvd SE Ste 510
Atlanta, GA 30339-6396

Phone

(606) 831-8218

NPI assigned

Jun 12, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Wright, PA-CNPI 1679992341

Title

Physician Assistant

Phone

(606) 831-8218

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jennifer Wright, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1679992341
  Medicare reassignment Authorized official
• Marcjonathan Serota, M.D.

  • Dermatology Physician
  • Littleton, CO
  • NPI 1740410463

  GA

  Medicare reassignment NPD
• Christina Marcelus, MD

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1669052932
  NPD (past)

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1194567701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725315",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311392315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE STE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396396",
            "telephone_number": "606-831-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SKIN SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "606-831-8218",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Healthcare of Atlanta P.C.
• Family Healthcare of Georgia, LLC
• Family Intervention & Community Advocay, LLC
• Family Practice Associates of Atlanta
• Family Practice Center, P.C.
• Family Solutions of Georgia LLC
• Family Support Services of Georgia
• Famo Healthcare Services LLC
• Lucie Kaiyi Fan
• Victoria Susan Wei Fan, PT, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.