Asc of Baucom & Mina Derm Surgery Johns Creek LLC
NPI 1013601517 · Ambulatory Surgical Clinic/Center · Johns Creek, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Asc of Baucom & Mina Derm Surgery Johns Creek LLC is a Ambulatory Surgical Clinic/Center organization in Johns Creek, GA (NPI 1013601517).
Provider details
- NPI number
- 1013601517
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Baucom, Owner(404) 844-0496
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
13 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Complicated Repair of Wound of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet, 2.6-7.5 Cm13132 | 13 | $322 |
Typical Medicare-allowed amounts for these services range $322–$322 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-06-07
- Last updated
- 2023-12-13
- Certified
- 2023-08-15
Frequently asked questions
- What is Asc of Baucom & Mina Derm Surgery Johns Creek LLC's NPI number?
- Asc of Baucom & Mina Derm Surgery Johns Creek LLC's National Provider Identifier (NPI) is 1013601517, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Asc of Baucom & Mina Derm Surgery Johns Creek LLC?
- Asc of Baucom & Mina Derm Surgery Johns Creek LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Asc of Baucom & Mina Derm Surgery Johns Creek LLC located?
- Asc of Baucom & Mina Derm Surgery Johns Creek LLC's practice location on file with NPPES is 10750 Medlock Bridge Rd Ste 102, Johns Creek, GA 30097-1705.
- What is Asc of Baucom & Mina Derm Surgery Johns Creek LLC's phone number?
- The practice phone number listed in the NPPES registry for Asc of Baucom & Mina Derm Surgery Johns Creek LLC is (470) 545-2124.
- Does Asc of Baucom & Mina Derm Surgery Johns Creek LLC accept Medicare?
- Asc of Baucom & Mina Derm Surgery Johns Creek LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Asc of Baucom & Mina Derm Surgery Johns Creek LLC?
- The authorized official listed on Asc of Baucom & Mina Derm Surgery Johns Creek LLC's NPPES record is Mark Baucom, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Asc of Baucom & Mina Derm Surgery Johns Creek LLC's NPI active?
- Yes — Asc of Baucom & Mina Derm Surgery Johns Creek LLC's NPI (1013601517) is active in the NPPES registry as of the last update on 2023-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.