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ALABAMA DERMATOLOGY ASSOCIATES, PC
NPI 1033128897
Specialist in Northport, AL

Active since August 07, 2006CLIA 01D0997182 · Certificate of Compliance
3519 WATERMELON RD, NORTHPORT, AL 35473(205) 345-1520(205) 345-1761 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alabama Dermatology Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALABAMA DERMATOLOGY ASSOCIATES, PC (NPI 1033128897) is a healthcare organization registered as a specialist in Northport, Alabama and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 9, 2026 and lists Brenda K Jones, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033128897
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALABAMA DERMATOLOGY ASSOCIATES, PC
Location Address3519 WATERMELON RDNorthport, AL 35473-5174
Mailing Address3519 Watermelon RdNorthport, AL 35473-5174 · (205) 345-1520 · Fax (205) 345-1761
Phone(205) 345-1520
Fax(205) 345-1761
Organization SubpartNo
Authorized OfficialBrenda K JonesOffice Manager · (205) 345-1520
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 30, 2007
✔ NPI 1033128897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
3519 WATERMELON RD, Northport, AL 35473
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Other Identifiers 1

Medicare ID-Type UnspecifiedD537AL · Group

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alabama Dermatology Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Alabama Dermatology Associates, PC, which bills Medicare for the services they deliver. Of these, 12 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology9
Nurse Practitioner4

Clinicians, nearest first (13)

Molly Clowers, CRNP
Dermatology
NPI 1851277834
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
Charles Gambla, MD
Dermatology
NPI 1275573107
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
Robert Griffith, MD
Dermatology
NPI 1265472195
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS0.7 mi
Staci Hardwick, FNP-BC
Nurse Practitioner
NPI 1912267550
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
Hillary Holland, FNP-C
Nurse Practitioner
NPI 1518661495
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
David Jackson, MD
Dermatology
NPI 1710928296
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS0.7 mi
Catherine Lucas, MD
Dermatology
NPI 1841240363
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
Alicia Nichols, CRNP
Nurse Practitioner
NPI 1619462843
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
Adam Richardson, DO, FAAD
Dermatology
NPI 1821482464
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
Karen Walker, M.D.
Dermatology
NPI 1669430872
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
Shelby Warren, NP
Nurse Practitioner
NPI 1598381097
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
Jeffery Weeks, MD
Dermatology
NPI 1538100011
4410 WATERMELON RD
Northport, AL 35473
(205) 345-1520
✔ PECOS✔ Accepts Medicare0.7 mi
Stephanie Walsh, M.D.
Dermatology
NPI 1972706372
2000 6TH AVE S SUITE 3RD FLOOR
Birmingham, AL 35233
(205) 996-7546
✔ PECOS✔ Accepts Medicare47 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 01D0997182

Alabama Dermatology Associates PC · Northport, AL
Active · expires Dec 9, 2026
CLIA Number01D0997182
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorStephanie Walsh
Laboratory Phone(205) 345-1520
Laboratory LocationAlabama Dermatology Associates PC4410 Watermelon Road, Northport, AL 35473
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alabama Dermatology Associates, PC's NPI number?

The NPI number for Alabama Dermatology Associates, PC is 1033128897. It was assigned to this organization in the NPPES registry on August 7, 2006.

Where is Alabama Dermatology Associates, PC located?

Alabama Dermatology Associates, PC is located at 3519 Watermelon Rd, Northport, AL 35473. The listed phone number is (205) 345-1520.

What is Alabama Dermatology Associates, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Alabama Dermatology Associates, PC enrolled in Medicare?

Yes. Alabama Dermatology Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alabama Dermatology Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Alabama Dermatology Associates, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dermatology (9) and Nurse Practitioner (4). Of these, 12 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alabama Dermatology Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D0997182) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alabama Dermatology Associates, PC was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.