Organization Active NPI

Skinpath Solutions, Inc

  • Dermatopathology (Pathology) Physician
  • Smyrna, GA
National Provider Identifier
1497072920
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
Legal business name
SKINPATH SOLUTIONS, INC
Practice address
2000 Lake Park Dr SE
Smyrna, GA 30080-7611
Phone
(678) 556-9411
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Dipti AnandNPI 1811041049
Title
MD
Phone
(706) 737-4575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZD0900X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

2000 Lake Park Dr SE
Smyrna, GA 30080-7611

Mailing address

2000 Lake Park Dr SE
Smyrna, GA 30080-7611
Phone (678) 556-9411

Other identifiers 1

IdentifierTypeStateIssuer
11D2010733OtherCLIA NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100727000655 GA Part B Supplier - Clinic/Group Practice 7315070489 Receives reassigned benefits from 5 practitioners
Practice locations: Smyrna, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2010733Skinpath Solutions2000 Lake Park Drive, SE, Smyrna, GA 30080ComplianceFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

1125 Troupe St
Augusta, GA 30904
Phone (706) 738-7977

2000 Lake Park Dr SE
Smyrna, GA 30080
Phone (678) 556-9411

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1497072920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 LAKE PARK DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807611",
            "telephone_number": "678-556-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 LAKE PARK DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807611",
            "telephone_number": "678-556-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKINPATH SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "706-737-4575"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "11D2010733",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.