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Asc of Baucom & Mina Derm Surgery Johns Creek LLC

Ambulatory Surgical Clinic/Center in Johns Creek, GA · enumerated 2023 · authorized official Mark Baucom, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013601517

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Asc of Baucom & Mina Derm Surgery Johns Creek LLC
Practice address 10750 Medlock Bridge Rd Ste 102, Johns Creek, GA, 30097
Fax (404) 844-0499
Enumeration date Jun 7, 2023
Last updated in NPPES Dec 13, 2023

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Mark Baucom
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Asc of Baucom & Mina Derm Surgery Johns Creek LLC?
Asc of Baucom & Mina Derm Surgery Johns Creek LLC is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-13.