Mary Alice Nading Mina, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

68072 Issued in GA

Practice address

5555 Peachtree Dunwoody Rd
Suite 206
Atlanta, GA 30342

Phone

(404) 844-0496

Fax

(404) 844-0496

NPI assigned

Jun 17, 2008

Last updated

Dec 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Vanderbilt University School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baucom and Mina Derm Surgery, LLC.Group PAC ID 5890076236, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baucom & Mina Derm Surgery, LLC

  • MOHS-Micrographic Surgery Physician
  • Atlanta, GA
  • NPI 1245780980
  Medicare reassignment Care Compare group NPD Authorized official
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  Medicare reassignment NPD
• TSR Medical, LLC

  • Dermatology Physician
  • Palmetto, GA
  • NPI 1831024298
  NPD Authorized official
• ASC of Baucom & Mina Derm Surgery Johns Creek LLC

  • Ambulatory Surgical Clinic/Center
  • Johns Creek, GA
  • NPI 1013601517
  NPD (past)
• ASC of Georgia Dermatologic Surgery

  dba ASC of Baucom & Mina Derm Surgery

  • Ambulatory Surgical Clinic/Center
  • Atlanta, GA
  • NPI 1356429765
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1538329149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 206",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-943-1996",
            "fax_number": "404-943-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 206",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "404-844-0496",
            "fax_number": "404-844-0496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10750 Medlock Bridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300971705",
            "country_code": "US",
            "telephone_number": "470-545-2124",
            "fax_number": "404-844-0499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINA",
        "first_name": "MARY ALICE",
        "middle_name": "NADING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "68072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Hinson Mims, DO
• Min K. Lee, M.D.P.C.
• Kevin Jay Min, M.D.
• Taejin Lance Min, M.D., PH.D.
• Mina Jacob, MD, PC
• Roberto Mina, MD
• Alexandra Minasian
• Jeffrey Hampar Minassian, MD
• Mind Body and Soul Homecare Services
• Mind Body Spirit Wellness Inc

• MOHS-Micrographic Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• MOHS-Micrographic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.

Verify at the official NPI Registry.