Active NPI
Christopher M Buckley, D.O.
- MOHS-Micrographic Surgery Physician
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 02910
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbuckley@directaddress.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.82 of 100
- Quality
- 93.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.45 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 225 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 41 |
| Removal of skin cancer | 1891 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS9788 | FL | MD | Dermatology Physician |
| 075969 | GA | MD | MOHS-Micrographic Surgery Physician |
| 02910 | KY | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Aqua Dermatology of Florida, PA | Dermatology | Current | Accepting new patients |
| Vitalskin Medical Group Il PLLC | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Vitalskin Medical Group Il PLLC | Dermatology | Current | Accepting new patients |
| Forefront Dermatology, S.C. | Dermatology | Current | Accepting new patients |
| Goodman Dermatology, PC | Dermatology | Current | Accepting new patients |
| Naples Center for Dermatology & Riverchase Dermatology | Current | Accepting new patients | |
| Kentucky Dermatology and Skin Cancer Clinic, PSC | Dermatology | Past | Accepting new patients |
| Skin and Cancer Associates | Dermatology | Past | Accepting new patients |
| Gerardo Quinonez, M.D., P.a. | Past | Accepting new patients | |
| Synergy Dermatology LLC | Dermatology | Past | 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
- cbuckley@aquadermatology.emadirect.md
- 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.
-
- Dermatology Physician
- Palm Beach Gardens, FL
- NPI 1538270335
-
- Dermatology Physician
- Roswell, GA
- NPI 1770801144
-
- Dermatology Physician
- Boynton Beach, FL
- NPI 1609101278
-
- Dermatology Physician
- Columbus, OH
- NPI 1063365385
-
- Dermatology Physician
- Elizabethtown, KY
- NPI 1477922672
-
- Dermatology Physician
- Louisville, KY
- NPI 1861897217
-
- Durable Medical Equipment & Medical Supplies
- Cape Coral, FL
- NPI 1538645775
-
- Dermatology Physician
- Mattoon, IL
- NPI 1063030252
-
- Dermatology Physician
- Louisville, KY
- NPI 1235245754
-
- Internal Medicine Physician
- Boynton Beach, FL
- NPI 1073533683
-
- Specialist
- Lexington, KY
- NPI 1831310390
Dermatology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.