ADAGIO DERMATOLOGY AND AESTHETICS, P.A.
NPI 1225023070
Specialist in Tyler, TX

Active since September 19, 2005CLIA 45D0995650 · Microscopy
455 RICE ROAD, STE. 104, TYLER, TX 75703(903) 597-3376(903) 526-7703 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adagio Dermatology And Aesthetics, P.a. NPPES

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

ADAGIO DERMATOLOGY AND AESTHETICS, P.A. (NPI 1225023070), doing business as Laura J. Haygood, M.d., P.a., is a healthcare organization registered as a specialist in Tyler, Texas and active in the NPI registry since September 2005. The organization holds a CLIA Microscopy certificate valid through January 27, 2028 and lists Laura Jennifer Haygood, President, as its authorized official.

NPPES Registry Identity

NPI1225023070
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADAGIO DERMATOLOGY AND AESTHETICS, P.A.
Location Address455 RICE ROAD, STE. 104Tyler, TX 75703-3604
Mailing Address455 Rice Road, Ste. 104Tyler, TX 75703-3604 · (903) 597-3376 · Fax (903) 526-7703
Fax(903) 526-7703
Organization SubpartNo
Authorized OfficialLaura Jennifer HaygoodPresident · (903) 597-3376
Enumeration DateSeptember 19, 2005
Last NPPES UpdateAugust 12, 2015
✔ NPI 1225023070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · K3905
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.
455 RICE ROAD, Tyler, TX 75703

Other Names 1

Former Legal Business NameLaura J. Haygood, M.d., P.a.

Other Identifiers 4

Medicare UPING95735TX
Medicare PIN8C9410TX
Other0082DNTX · Blue Cross Blue Shield
Medicare PIN00745XTX

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adagio Dermatology And Aesthetics, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Adagio Dermatology And Aesthetics, P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1609083203
455 RICE ROAD STE. 104
Tyler, TX 75703
(903) 597-3376
✔ PECOS✔ Accepts MedicareSame address

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 for Provider-Performed Microscopy Procedures (PPMP) 45D0995650

Adagio Dermatology And Aesthetics PA · Tyler, TX
Active · expires Jan 27, 2028
CLIA Number45D0995650
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorLaura J. Haygood, MD
Laboratory Phone(903) 597-3376
Laboratory LocationAdagio Dermatology And Aesthetics PA455 Rice Road Suite 104, Tyler, TX 75703
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.

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 Adagio Dermatology And Aesthetics, P.A.'s NPI number?

The NPI number for Adagio Dermatology And Aesthetics, P.A. is 1225023070. It was assigned to this organization in the NPPES registry on September 19, 2005. The provider was formerly known as Laura J. Haygood, M.D., P.A..

Where is Adagio Dermatology And Aesthetics, P.A. located?

Adagio Dermatology And Aesthetics, P.A. is located at 455 Rice Road Ste. 104, Tyler, TX 75703. The listed phone number is (903) 597-3376.

What is Adagio Dermatology And Aesthetics, P.A.'s specialty?

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

Is Adagio Dermatology And Aesthetics, P.A. enrolled in Medicare?

Yes. Adagio Dermatology And Aesthetics, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adagio Dermatology And Aesthetics, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Adagio Dermatology And Aesthetics, P.A.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Adagio Dermatology And Aesthetics, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0995650) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Adagio Dermatology And Aesthetics, P.A. was last updated on August 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.