Provider Type Icon

ALABAMA DERMATOLOGY ASSOCIATES PC NPI 1033128897


NPI Information

NPI: 1033128897
Provider Name: ALABAMA DERMATOLOGY ASSOCIATES, PC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 01D0997182

Address:
3519 WATERMELON RD
NORTHPORT, AL
ZIP 35473
Phone: (205) 345-1520
Get Directions

ALABAMA DERMATOLOGY ASSOCIATES, PC is a specialist in Northport, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ALABAMA DERMATOLOGY ASSOCIATES, PC NPI is 1033128897. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3519 WATERMELON RD
NORTHPORT, AL
ZIP 35473-174
Phone: (205) 345-1520
Fax: (205) 345-1761

The provider's authorized official is Brenda K Jones .
The authorized official title is Office Manager and has the following contact phone number (205) 345-1520.

The CLIA number assigned to this NPI record is 01D0997182 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/7/2006 and was last updated on 7/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D537MEDICARE ID-TYPE UNSPECIFIEDALABAMAGROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.