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SOUTHEASTERN DERMATOLOGY CENTERS
NPI 1194789172
Specialist in Birmingham, AL

Active since April 14, 2006
817 PRINCETON AVE SW, POB II, SUITE 302, BIRMINGHAM, AL 35211(205) 781-6995(205) 781-8783 Get Directions Write a Review

NPPES record last updated: March 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Dermatology Centers NPPES

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

SOUTHEASTERN DERMATOLOGY CENTERS (NPI 1194789172) is a healthcare organization registered as a specialist in Birmingham, Alabama and active in the NPI registry since April 2006. The organization lists G. Scott Fenn, Chief Integration Officer, as its authorized official.

NPPES Registry Identity

NPI1194789172
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHEASTERN DERMATOLOGY CENTERS
Location Address817 PRINCETON AVE SW, POB II, SUITE 302Birmingham, AL 35211-1333
Mailing AddressPo Box 13128Birmingham, AL 35202-3128 · (205) 715-5904 · Fax (205) 715-5928
Phone(205) 781-6995
Fax(205) 781-8783
Organization SubpartYesParent: Baptist Health Centers, Inc.
Authorized OfficialG. Scott FennChief Integration Officer · (205) 715-5415
Enumeration DateApril 14, 2006
Last NPPES UpdateMarch 30, 2009
✔ NPI 1194789172 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.
817 PRINCETON AVE SW, Birmingham, AL 35211
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Other Identifiers 2

Medicare ID-Type UnspecifiedI595AL
Medicaid529904550AL

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

Other Providers at the Same Location NPPES 20

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

DR. VERNON D. HORST M.D.
Surgery (Vascular Surgery)
817 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-0160
PRINCETON WOMENS CARE
Obstetrics & Gynecology (Maternal & Fetal Medicine)
817 PRINCETON AVE SW, POB II; SUITE 120
BIRMINGHAM, AL 35211
Jefferson County (205) 781-7123
DR. VASUDEVA RAO GOLI M.D.
Internal Medicine (Cardiovascular Disease)
817 PRINCETON AVE SW, PROFESSIONAL BLDG 2 SUITE 202
BIRMINGHAM, AL 35211
Jefferson County (205) 786-8815
MR. JODY ST.CLAIR PA-C
Physician Assistant (Surgical)
817 PRINCETON AVE SW, POB II STE. 306
BIRMINGHAM, AL 35211
Jefferson County (205) 783-0160
THORACIC CARDIAC & VASCULAR SURGERY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
817 PRINCETON AVE SW, POB II, SUITE 300
BIRMINGHAM, AL 35211
Jefferson County (205) 780-8980
MRS. MINERVA AMPUTCH-YOUNG MS, LPC, NCC
Counselor (Professional)
817 PRINCETON AVE SW, SUITE 115
BIRMINGHAM, AL 35211
Jefferson County (205) 453-9888
ERIC BROWN CRNP
Nurse Practitioner (Gerontology)
817 PRINCETON AVE SW, SUITE 120
BIRMINGHAM, AL 35211
Jefferson County (205) 783-3320
KARASSI ENDOCRINOLOGY & INTERNAL MEDICINE PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
817 PRINCETON AVE SW, SUITE 308
BIRMINGHAM, AL 35211
Jefferson County (205) 787-2669

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 Southeastern Dermatology Centers's NPI number?

The NPI number for Southeastern Dermatology Centers is 1194789172. It was assigned to this organization in the NPPES registry on April 14, 2006.

Where is Southeastern Dermatology Centers located?

Southeastern Dermatology Centers is located at 817 Princeton Ave SW Pob II, Suite 302, Birmingham, AL 35211. The listed phone number is (205) 781-6995.

What is Southeastern Dermatology Centers's specialty?

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

When was this NPI record last updated?

The NPPES record for Southeastern Dermatology Centers was last updated on March 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.