Baucom & Mina Derm Surgery, LLC
NPI 1245780980 · MOHS-Micrographic Surgery Physician · Atlanta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Baucom & Mina Derm Surgery, LLC is a MOHS-Micrographic Surgery Physician organization in Atlanta, GA (NPI 1245780980).
Provider details
- NPI number
- 1245780980
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Alice Mina, Owner(404) 844-0496
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-06
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Frequently asked questions
- What is Baucom & Mina Derm Surgery, LLC's NPI number?
- Baucom & Mina Derm Surgery, LLC's National Provider Identifier (NPI) is 1245780980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Baucom & Mina Derm Surgery, LLC?
- Baucom & Mina Derm Surgery, LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Baucom & Mina Derm Surgery, LLC located?
- Baucom & Mina Derm Surgery, LLC's practice location on file with NPPES is 5555 Peachtree Dunwoody Rd, Atlanta, GA 30342-1703.
- What is Baucom & Mina Derm Surgery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Baucom & Mina Derm Surgery, LLC is (404) 844-0496.
- Does Baucom & Mina Derm Surgery, LLC accept Medicare?
- Baucom & Mina Derm Surgery, 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 Baucom & Mina Derm Surgery, LLC?
- The authorized official listed on Baucom & Mina Derm Surgery, LLC's NPPES record is Mary Alice Mina, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Baucom & Mina Derm Surgery, LLC's NPI active?
- Yes — Baucom & Mina Derm Surgery, LLC's NPI (1245780980) 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.