GREAT STATE 2019 INC
NPI 1124757588
Dermatology in Tuscaloosa, AL

Active since June 09, 2022
4960 RICE MINE RD NE STE 30A, TUSCALOOSA, AL 35406(205) 509-9055 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great State 2019 Inc NPPES

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

GREAT STATE 2019 INC (NPI 1124757588), doing business as Great State Alabama, is a healthcare organization registered as a dermatology in Tuscaloosa, Alabama and active in the NPI registry since June 2022. The organization lists Daniel Sparkman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1124757588
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGREAT STATE 2019 INC
Location Address4960 RICE MINE RD NE STE 30ATuscaloosa, AL 35406-3136
Mailing Address4960 Rice Mine Rd Ne Ste 30aTuscaloosa, AL 35406-3136 · (205) 509-9055
Organization SubpartNo
Authorized OfficialDaniel SparkmanExecutive Director · (205) 509-9055
Enumeration DateJune 9, 2022
NPPES CertifiedJune 9, 2022
NPI 1124757588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
4960 RICE MINE RD NE STE 30A, Tuscaloosa, AL 35406

Other Names 2

Doing Business AsGreat State Alabama
Doing Business AsGreat State Rural Clinics

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

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 Great State 2019 Inc's NPI number?

The NPI number for Great State 2019 Inc is 1124757588. It was assigned to this organization in the NPPES registry on June 9, 2022. The provider is doing business as Great State Alabama and Great State Rural Clinics.

Where is Great State 2019 Inc located?

Great State 2019 Inc is located at 4960 Rice Mine Rd NE Ste 30A, Tuscaloosa, AL 35406. The listed phone number is (205) 509-9055.

What is Great State 2019 Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Great State 2019 Inc was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.