Individual provider Active NPI

Paul L Haun, M.D.

  • Dermatology Physician
  • Peachtree City, GA
National Provider Identifier
1881980738
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
93744 Issued in GA
Practice address
112 Wilshire Village Dr
Peachtree City, GA 30269-3138
Phone
(770) 676-3376
NPI assigned
Jun 20, 2011
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 93744 GA Primary

Addresses

Primary practice location

112 Wilshire Village Dr
Peachtree City, GA 30269-3138

Mailing address

112 Wilshire Village Dr
Peachtree City, GA 30269-3138
Phone (770) 676-3376

Other practice location 1

354 Newnan Crossing Byp
Newnan, GA 30265-2323
Phone (770) 520-8561

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
I20230427002010 GA Practitioner - Dermatology 7416102363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of W GaGroup PAC ID 1456397660, 10 clinicians

Practice addresses (Care Compare)

354 Newnan Crossing Byp
Suite 205
Newnan, GA 30265-2434
Phone (770) 520-8561

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions433
Removal or shaving of skin growth1-10
Skin biopsy262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93744GAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Dermatology Specialists of W Ga Dermatology CurrentSince Jul 1, 2024 Accepting new patients
West Georgia Derm Surgery Center Past Accepting new patients

Locations

109 Professional Pl
Carrollton, GA 30117
Phone (770) 834-0170

601 Dixie St
Carrollton, GA 30117
Phone (770) 838-9333

354 Newnan Crossing Byp
Ste 205
Newnan, GA 30265
Phone (678) 326-4812

354 Newnan Crossing Byp
Newnan, GA 30265
Phone (770) 520-8561

112 Wilshire Village Dr
Peachtree City, GA 30269
Phone 7706363376 ext. 63376

Organizations & group practices 4

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1881980738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WILSHIRE VILLAGE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693138",
            "telephone_number": "770-676-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WILSHIRE VILLAGE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693138",
            "telephone_number": "770-676-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Newnan Crossing Byp",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652323",
            "country_code": "US",
            "telephone_number": "770-520-8561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUN",
        "first_name": "PAUL",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "93744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

Verify at the official NPI Registry.