DAMON VAN MAULDIN (MD) – Dermatology Physician, NPI 1427166933

DAMON VAN MAULDIN (MD) is a healthcare provider. based in Decatur, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 043422 (GA). The NPI Number for DAMON VAN MAULDIN (MD) is 1427166933

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DAMON VAN MAULDIN (MD)
NPI
1427166933
Phone
(404) 321-4600
Address
1951 CLAIRMONT RD
Enumeration Date
25 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
4043214600
Graduation Year
1995 (31 years ago)
PAC ID
1052312501
Group Practice PAC ID
3678547569
Professional Enrollment ID
I20120320000857
Address ID
GA300333415DE1951XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

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Provider Addresses for DAMON VAN MAULDIN (MD)

  • Clairmont Road, Decatur, DeKalb County, Georgia, 30030, United States

    DECATUR, GA 300333415

    Phone: (404) 321-4600

    Fax: (404) 320-0987

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $817.

Total Amount is formed as General ($817) + Research ($0) + Ownership ($0) = $817.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Arcutis Biotherapeutics, Inc. ($392).

Total Amount

$817

General + Research + Ownership

Payments

40

Total payment records

General Amount

$817

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120320000857IDermatologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity2,4851,472$0
99213Established patient office or other outpatient visit, 20-29 minutes687565$0
17003Destruction of precancer skin growth, 2-14 growths577126$0
17110Destruction of skin growth, 1-14 growths265238$0
17000Destruction of precancer skin growth, 1 growth249204$0
View full utilization report →

Insurance plans in this area (ZIP 30033)

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Provider's Procedures

DAMON VAN MAULDIN (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYGA17003Destruction of 2-14 skin growths538126

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678547569View full group profile
NameSpecialtyState
Physician AssistantGA
-GA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
D E R M A T O L O G YIL
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the registry number for DAMON VAN MAULDIN (MD)?
The registry entry for DAMON VAN MAULDIN (MD) shows NPI 1427166933.
Quick check: is DAMON VAN MAULDIN (MD) active?
Public NPPES data shows DAMON VAN MAULDIN (MD) with an active NPI status right now.
What services align with DAMON VAN MAULDIN (MD)'s listing?
DAMON VAN MAULDIN (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DAMON VAN MAULDIN (MD)?
DAMON VAN MAULDIN (MD) is associated with Decatur, Georgia in the same public data insurers reference.
Why is information missing for DAMON VAN MAULDIN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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