Organization Active NPI

Atlanta Skin Wellness Center LLC

  • Dermatology Physician
  • Atlanta, GA
National Provider Identifier
1902538770
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ATLANTA SKIN WELLNESS CENTER LLC
Doing business as
Atlanta Skin Wellness
Atlanta Skin Wellness Center
Practice address
1800 Howell Mill Rd NW Ste 680
Atlanta, GA 30318-0920
Phone
(404) 446-4840
Fax
(404) 446-4841
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Dr. Elise P Barnett, MDNPI 1942414057
Title
Ower/MD
Phone
(404) 446-4840

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1800 Howell Mill Rd NW Ste 680
Atlanta, GA 30318-0920

Mailing address

755 Mount Vernon Hwy NE Ste 305
Atlanta, GA 30328-4290
Phone (404) 446-4840

Other names 2

  • Atlanta Skin Wellness Doing business as
  • Atlanta Skin Wellness Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230201000434 GA Part B Supplier - Clinic/Group Practice 2163893017 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2266738Atlanta Skin Wellness Center, LLC1800 Howell Mill Road, Suite 680, Atlanta, GA 30318Provider-performed microscopyAug 14, 2026

National Provider Directory

National Provider Directory

Locations

755 Mount Vernon Hwy NE
Ste 305
Sandy Springs, GA 30328
Phone (404) 446-4840

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1902538770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284290",
            "telephone_number": "404-446-4840",
            "fax_number": "404-446-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 680",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180920",
            "telephone_number": "404-446-4840",
            "fax_number": "404-446-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SKIN WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWER/MD",
        "authorized_official_telephone_number": "404-446-4840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Skin Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlanta Skin Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.