Individual provider Active NPI

Caitlin Mackenzie Farmer, M.D.

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1487040564
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R9609 Issued in TX
Practice address
5505 Peachtree Dunwoody Rd Ste 412
Atlanta, GA 30342-1758
Phone
(404) 459-9177
Fax
(404) 389-0400
NPI assigned
Apr 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 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 R9609 TX Primary

Addresses

Primary practice location

5505 Peachtree Dunwoody Rd Ste 412
Atlanta, GA 30342-1758

Mailing address

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

Other names 1

  • Dr. Caitlin Mackenzie Fearing Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Caitlin.Farmer@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190611002815 TX Practitioner - Dermatology 0749570737 Reassigns benefits to 2 organizations
I20260505002866 GA Practitioner - Dermatology 0749570737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PDP of Texas, PLLCGroup PAC ID 2466455050, 61 clinicians

Practice addresses (Care Compare)

3200 Broadway Blvd
Suite 200
Garland, TX 75043-1571
Phone (972) 271-4141

3321 Yucca Dr
Suite 100
Flower Mound, TX 75028-2743
Phone (972) 505-2551

6750 N Macarthur Blvd
260 Dallas Associated Dermatologists
Irving, TX 75039-2489
Phone (214) 987-3376

7000 Preston Rd
Suite 500
Plano, TX 75024-2573
Phone (214) 987-3376

Merit-based Incentive Payment System (MIPS)

Final score
93.58 of 100Reported as individual
Quality
93.77
Promoting interoperability
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions2023
Removal or shaving of skin growth14
Skin biopsy263

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PDP of Texas, PLLC Dermatology CurrentSince Jul 6, 2021 Accepting new patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Jul 1, 2019 Accepting new patients
Facial and Skin Surgery Center PA Past Accepting new patients
Pediatric Dermatology of No. TX Past Accepting new patients
Dermatology Associates Dermatology PastSince Jul 1, 2019 Accepting new patients

Locations

1601 W Hebron Pkwy
Ste 220
Carrollton, TX 75010
Phone (469) 208-7181

12700 Park Central Dr
Ste 1210
Dallas, TX 75251
Phone (702) 360-2763

9900 N Central Expy
Ste 500
Dallas, TX 75231
Phone (214) 692-1900

3200 Broadway Blvd
Ste 200
Garland, TX 75043
Phone (972) 271-4141

1042 Texan Trl
Ste 200
Grapevine, TX 76051
Phone (817) 722-6156

6750 N MacArthur Blvd
Ste 260
Irving, TX 75039
Phone (214) 692-6566

21800 Katy Fwy
Ste 200
Katy, TX 77449
Phone (713) 771-1100

5060 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (972) 505-2551

7000 Preston Rd
Ste 500
Plano, TX 75024

5030 Tennyson Pkwy
Ste 100
Plano, TX 75024
Phone (972) 945-3854

5060 Tennyson Pkwy
Ste 200
Plano, TX 75024
Phone (214) 556-5695

1940 John King Blvd
Rockwall, TX 75032
Phone (972) 505-2551

431 E State Highway 114
Ste 300
Southlake, TX 76092
Phone (817) 251-6500

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1487040564",
    "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": "5505 PEACHTREE DUNWOODY RD STE 412",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421758",
            "telephone_number": "404-459-9177",
            "fax_number": "404-389-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "CAITLIN",
        "middle_name": "MACKENZIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R9609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Caitlin.Farmer@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"
        }
    ],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "FEARING",
            "middle_name": "MACKENZIE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.