Decatur Dermatology & Aesthetics LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DECATUR DERMATOLOGY & AESTHETICS LLC

Practice address

150 E Ponce de Leon Ave Ste 150
Decatur, GA 30030-2566

Phone

(404) 566-5056

Fax

(404) 566-5046

NPI assigned

Dec 15, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kelli Ingram Baender, MDNPI 1093793416

Title

Founder and Medical Director

Phone

(404) 566-5056

Specialties & licenses 1

Addresses

Other names 3

• Decatur Dermatology & Aesthetics Doing business as
• Decatur Dermatology Other name
• Decatur Dermatology & Aesthetics, LLC Other name

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

CLIA laboratory certificates

Practitioners 1

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

• Kelli Ingram Baender, M.D.

  • Dermatology Physician
  • Decatur, GA
  • NPI 1093793416
  NPD Authorized official

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1972467744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 GLENDALE AVE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301918",
            "telephone_number": "404-566-5056",
            "fax_number": "404-566-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PONCE DE LEON AVE STE 150",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302566",
            "telephone_number": "404-566-5056",
            "fax_number": "404-566-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR DERMATOLOGY & AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BAENDER",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "INGRAM",
        "authorized_official_title_or_position": "FOUNDER AND MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-566-5056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Dermatology & Aesthetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Decatur Dermatology",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Decatur Dermatology & Aesthetics, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gary A. Debacher, MD
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• Decatur Counseling and Wellness Center
• Decatur Dental Center
• Decatur Dental Group, LLC
• Decatur Endoscopy Center, LLC
• Decatur Eye Care
• Decatur Family Denture Center
• Decatur Hand and Physical Therapy Specialists Limited Partnership
• Decatur Hand Therapy Specialists Limited Partnership

• Dermatology Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.