PURE DERMATOLOGY & AESTHETICS, PC
NPI 1104176700
Dermatology in Hoover, AL

Active since September 12, 2012CLIA 01D2048496 · Microscopy
5346 STADIUM TRACE PKWY, SUITE 100, HOOVER, AL 35244(205) 682-8022 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pure Dermatology & Aesthetics, Pc NPPES

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

PURE DERMATOLOGY & AESTHETICS, PC (NPI 1104176700) is a healthcare organization registered as a dermatology in Hoover, Alabama and active in the NPI registry since September 2012. The organization holds a CLIA Microscopy certificate valid through October 16, 2026 and lists Elizabeth Shannon Martin, Physician, as its authorized official.

NPPES Registry Identity

NPI1104176700
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePURE DERMATOLOGY & AESTHETICS, PC
Location Address5346 STADIUM TRACE PKWY, SUITE 100Hoover, AL 35244-4582
Mailing Address5346 Stadium Trace Pkwy, Suite 100Hoover, AL 35244-4582 · (205) 682-8022
Organization SubpartNo
Authorized OfficialElizabeth Shannon MartinPhysician · (205) 682-8022
Enumeration DateSeptember 12, 2012
NPI 1104176700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AL · 21915
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5346 STADIUM TRACE PKWY, Hoover, AL 35244

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 SINGLE SPECIALTY GROUP

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 for Provider-Performed Microscopy Procedures (PPMP) 01D2048496

Pure Dermatology · Hoover, AL
Active · expires Oct 16, 2026
CLIA Number01D2048496
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorElizabeth S. Martin MD
Laboratory Phone(205) 682-8022
Laboratory LocationPure Dermatology5346 Stadium Trace Parkway Suite 100, Hoover, AL 35244
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
5346 STADIUM TRACE PKWY
HOOVER, AL 35244
Pharmacist
5346 STADIUM TRACE PKWY
HOOVER, AL 35244
Dentist (Pediatric Dentistry)
5346 STADIUM TRACE PKWY, SUITE 108
BIRMINGHAM, AL 35244
Nurse Practitioner (Adult Health)
5346 STADIUM TRACE PKWY, STE 100
HOOVER, AL 35244
Dermatology
5346 STADIUM TRACE PKWY, SUITE 100
HOOVER, AL 35244

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 Pure Dermatology & Aesthetics, PC's NPI number?

The NPI number for Pure Dermatology & Aesthetics, PC is 1104176700. It was assigned to this organization in the NPPES registry on September 12, 2012.

Where is Pure Dermatology & Aesthetics, PC located?

Pure Dermatology & Aesthetics, PC is located at 5346 Stadium Trace Pkwy Suite 100, Hoover, AL 35244. The listed phone number is (205) 682-8022.

What is Pure Dermatology & Aesthetics, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Pure Dermatology & Aesthetics, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D2048496) is associated with this NPI, valid through October 16, 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 Pure Dermatology & Aesthetics, PC was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.