Individual provider Active NPI

Chloe Standridge Fernandez, DO

  • Dermatology Physician
  • Roswell, GA
National Provider Identifier
1912649690
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
111096 Issued in GA
Practice address
1357 Hembree Rd Ste 250
Roswell, GA 30076-5724
Phone
(770) 754-0787
NPI assigned
Apr 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 111096 GA Primary
Dermatology Physician 207N00000X OS20960 FL

Addresses

Primary practice location

1357 Hembree Rd Ste 250
Roswell, GA 30076-5724

Mailing address

1357 Hembree Rd Ste 250
Roswell, GA 30076-5724
Phone (770) 754-0787

Other names 1

  • Miss Chloe Ann Standridge Former name

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
I20260305003707 GA Practitioner - Dermatology 9436631603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1357 Hembree Rd
Suite 250
Roswell, GA 30076-5710

4360 Dulles Dr Apt
Suite 8108
Fort Worth, TX 76155-3536

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS20960FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatopathology Lab of Skin Cancer Specialists, P.C. CurrentSince Apr 1, 2026 Accepting new patients
Aqua Dermatology of Georgia PC Dermatology CurrentSince Apr 1, 2026 Accepting new patients

Locations

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

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1912649690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1357 HEMBREE RD STE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765724",
            "telephone_number": "770-754-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 HEMBREE RD STE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765724",
            "telephone_number": "770-754-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "CHLOE",
        "middle_name": "STANDRIDGE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-12",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "111096",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS20960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHLOE",
            "last_name": "STANDRIDGE",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.