Athens-Oconee Skin Cancer & Dermatology, LLC
NPI 1790989291 · Procedural Dermatology Physician · Watkinsville, GA
Athens-Oconee Skin Cancer & Dermatology, LLC is a Procedural Dermatology Physician organization in Watkinsville, GA (NPI 1790989291).
Provider details
- NPI number
- 1790989291
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stella Bulengo, Owner(706) 769-7546
- License
- 050931 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Other name
- Oconee Dermatopathology
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2025-09-11
Frequently asked questions
- What is Athens-Oconee Skin Cancer & Dermatology, LLC's NPI number?
- Athens-Oconee Skin Cancer & Dermatology, LLC's National Provider Identifier (NPI) is 1790989291, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Athens-Oconee Skin Cancer & Dermatology, LLC?
- Athens-Oconee Skin Cancer & Dermatology, LLC is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Athens-Oconee Skin Cancer & Dermatology, LLC located?
- Athens-Oconee Skin Cancer & Dermatology, LLC's practice location on file with NPPES is 1582 Mars Hill Rd, Watkinsville, GA 30677-4836.
- What is Athens-Oconee Skin Cancer & Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Athens-Oconee Skin Cancer & Dermatology, LLC is (706) 769-7546.
- Who is the authorized official for Athens-Oconee Skin Cancer & Dermatology, LLC?
- The authorized official listed on Athens-Oconee Skin Cancer & Dermatology, LLC's NPPES record is Stella Bulengo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Athens-Oconee Skin Cancer & Dermatology, LLC's NPI active?
- Yes — Athens-Oconee Skin Cancer & Dermatology, LLC's NPI (1790989291) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.