Active NPI
Skin Deep Concierge Medicine LLC
- Dermatology Physician
- Warrenton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SKIN DEEP CONCIERGE MEDICINE LLC
- Practice address
- 225 Oak Springs Dr Ste 102
Warrenton, VA 20186-2186 - Phone
- (540) 935-4449
- Fax
- (540) 347-4444
- NPI assigned
- Jul 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Renee Callahan, PA
- Title
- Owner
- Phone
- (703) 338-2317
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
225 Oak Springs Dr Ste 102
Warrenton, VA 20186-2186
Mailing address
225 Oak Springs Dr Ste 102
Warrenton, VA 20186-2186
Phone (540) 935-4449
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2327662 | Skin Deep Concierge Medicine | Provider-performed microscopy | Jul 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
225 Oak Springs Dr
Ste 102
Warrenton, VA 20186
Phone (540) 347-0274
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Warrenton, VA
- NPI 1770039927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1609759752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 OAK SPRINGS DR STE 102",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862186",
"telephone_number": "540-935-4449",
"fax_number": "540-347-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 OAK SPRINGS DR STE 102",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862186",
"telephone_number": "540-935-4449",
"fax_number": "540-347-4444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN DEEP CONCIERGE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "CALLAHAN",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-338-2317",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.