Individual provider Active NPI

Christopher M Buckley, D.O.

  • MOHS-Micrographic Surgery Physician
  • Roswell, GA
National Provider Identifier
1659402196
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
02910 Issued in KY
Practice address
2500 Hospital Blvd Ste 280
Roswell, GA 30076-4918
Phone
(770) 754-0787
Fax
(770) 755-5890
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS9788 FL
MOHS-Micrographic Surgery Physician 207ND0101X 075969 GA
MOHS-Micrographic Surgery Physician 207ND0101X 02910 KY Primary

Addresses

Primary practice location

2500 Hospital Blvd Ste 280
Roswell, GA 30076-4918

Mailing address

495 Brickell Ave Apt 2309
Miami, FL 33131-2787
Phone (859) 576-5774

Other practice location 1

177 Burt Rd
Lexington, KY 40503-2457
Phone (859) 276-1511

Other practice location 2

261 9th St S
Naples, FL 34102-6258
Phone (239) 216-4337

Other practice location 3

9897 Hagen Ranch Rd
Boynton Beach, FL 33472-7400
Phone (561) 364-7774

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cbuckley@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, KY, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20110323000875 FL Practitioner - Dermatology 4789618893 Reassigns benefits to 2 organizations
I20160621001585 GA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4789618893 Reassigns benefits to 1 organization
I20240412002587 KY Practitioner - Micrographic Dermatologic Surgery (MDS) 4789618893 Reassigns benefits to 1 organization
I20251119002422 IN Practitioner - Dermatology 4789618893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalskin Medical Group Il PLLCGroup PAC ID 5991116261, 56 clinicians
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

114 Manor Ave
Bardstown, KY 40004-3230
Phone (217) 729-7868

261 9TH St S
Naples, FL 34102-6258
Phone (239) 216-4337

2857 Charlestown Rd
Suite 100
New Albany, IN 47150-1998
Phone (819) 944-4656

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
93.58
Promoting interoperability
100
Improvement activities
40
Cost
79.16

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision225
Removal of tissue1-10
Removal of skin lesions41
Removal of skin cancer1891
Removal or shaving of skin growth1-10
Skin biopsy31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9788FLMDDermatology Physician
075969GAMDMOHS-Micrographic Surgery Physician
02910KYMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 27, 2024 Accepting new patients
Aqua Dermatology of Florida, PA Dermatology CurrentSince Aug 1, 2016 Accepting new patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Nov 1, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Vitalskin Medical Group Il PLLC Dermatology CurrentSince Nov 1, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Aug 27, 2024 Accepting new patients
Goodman Dermatology, PC Dermatology CurrentSince May 5, 2016 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Aug 1, 2016 Accepting new patients
Kentucky Dermatology and Skin Cancer Clinic, PSC Dermatology Past Accepting new patients
Skin and Cancer Associates Dermatology PastSince Apr 15, 1991 Accepting new patients
Gerardo Quinonez, M.D., P.a. PastSince Nov 26, 2012 Accepting new patients
Synergy Dermatology LLC Dermatology PastSince Nov 26, 2012 Accepting new patients
Dr William M Parsley MD PSC Dermatology Past Accepting new patients

Locations

15051 S Tamiami Trl
Ste 203
Fort Myers, FL 33908
Phone (239) 732-5959

950 N Collier Blvd
Ste 303
Marco Island, FL 34145
Phone (239) 642-3337

9125 Corsea del Fontana Way
Ste 100
Naples, FL 34109
Phone (239) 598-4004

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

1108 Goodlette Rd
Naples, FL 34102
Phone (239) 262-1080

261 9th St S
Naples, FL 34102
Phone (239) 216-4337

603 N Flamingo Rd
Ste 350
Pembroke Pnes, FL 33028
Phone (954) 435-5100

1255 Friendship Rd
Ste 120
Braselton, GA 30517
Phone (470) 201-7777

4700 Nelson Brogdon Blvd
Ste 125
Buford, GA 30518
Phone (470) 242-0725

1839 Buford Hwy
Ste 100
Buford, GA 30518
Phone (678) 450-9933

470 Northside Cherokee Blvd
Ste 170
Canton, GA 30115
Phone (770) 721-9540

2000 Howard Farm Dr
Ste 320
Cumming, GA 30041
Phone (404) 847-4180

5983 Highway 53 E
Ste 200
Dawsonville, GA 30534
Phone (770) 754-0787

1163 Johnson Ferry Rd
Ste 250
Marietta, GA 30068
Phone (770) 321-1001

2500 Hospital Blvd
Ste 280
Roswell, GA 30076
Phone (770) 754-0787

1357 Hembree Rd
Ste 250
Roswell, GA 30076
Phone (770) 475-7550

4298 Atlanta Rd SE
Ste 320
Smyrna, GA 30080
Phone (470) 242-0717

2001 Professional Way
Ste 250
Woodstock, GA 30188
Phone (770) 754-0787

2857 Charlestown Rd
Ste 10
New Albany, IN 47150
Phone (819) 944-4656

2857 Charlestown Rd
Ste 100
New Albany, IN 47150
Phone (812) 944-7500

114 Manor Ave
Bardstown, KY 40004
Phone (217) 729-7868

2405 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 278-9492

501 S 2nd St
Louisville, KY 40202
Phone (502) 583-7546

13802 Lake Point Cir
#102
Louisville, KY 40223
Phone (217) 729-7664

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: cbuckley@aquadermatology.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1659402196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 BRICKELL AVE APT 2309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331312787",
            "telephone_number": "859-576-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 280",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764918",
            "telephone_number": "770-754-0787",
            "fax_number": "770-755-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Burt Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405032457",
            "country_code": "US",
            "telephone_number": "859-276-1511",
            "fax_number": "859-276-2556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "261 9th St S",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341026258",
            "country_code": "US",
            "telephone_number": "239-216-4337",
            "fax_number": "239-642-3053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9897 Hagen Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334727400",
            "country_code": "US",
            "telephone_number": "561-364-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS9788",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "075969",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "KY",
            "license": "02910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbuckley@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2500 Hospital Blvd Ste 280",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300764918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.