Individual provider Active NPI

Christina Marcelus, MD

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1669052932
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
104649 Issued in GA
Practice address
4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714
Phone
(404) 585-1230
NPI assigned
Apr 12, 2021
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 104649 GA Primary

Addresses

Primary practice location

4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714

Mailing address

4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714
Phone (404) 585-1230

Other identifiers 1

IdentifierTypeStateIssuer
104649OtherGAGEORGIA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250715002354 GA Practitioner - Dermatology 8729489307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of Ny Upstate Medical University, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

335 Peachtree Industrial Blvd
Suite 2210
Suwanee, GA 30024-3721

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104649GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Dermatology, P.C. Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Christina Marcelus MD Ms Faad LLC Dermatology Current Accepting new patients
Family Skin Specialists LLC Dermatology PastSince Jun 16, 2024 Accepting new patients

Locations

4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960

335 Peachtree Industrial Blvd
Ste 2210
Suwanee, GA 30024
Phone (770) 676-2200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1669052932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 PACES FERRY RD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395714",
            "telephone_number": "404-585-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PACES FERRY RD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395714",
            "telephone_number": "404-585-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELUS",
        "first_name": "CHRISTINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "104649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA",
            "identifier": "104649",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.