NPIMap

Organization Active NPI

Luxe Derm Spa

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1538034129
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LUXE DERM SPA
Practice address
1323 Metropolitan Pkwy SW
Atlanta, GA 30310-4441
Phone
(678) 607-9923
NPI assigned
Oct 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Dr. Tunisia Finch Cornelius, MDNPI 1245404854
Title
Owner
Phone
(678) 607-9923

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1323 Metropolitan Pkwy SW
Atlanta, GA 30310-4441

Mailing address

830 Glenwood Ave SE Ste 510-209
Atlanta, GA 30316-1966
Phone (404) 354-0101

National Provider Directory

National Provider Directory

Locations

1323 Metropolitan Pkwy SW
Atlanta, GA 30310
Phone (678) 589-7546

Practitioners & affiliated clinicians

Practitioners 1

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": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1538034129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 GLENWOOD AVE SE STE 510-209",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161966",
            "telephone_number": "404-354-0101",
            "fax_number": "678-589-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 METROPOLITAN PKWY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303104441",
            "telephone_number": "678-607-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXE DERM SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "TUNISIA",
        "authorized_official_middle_name": "FINCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-607-9923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.