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EQUITY DERMATOLOGY, PLLC
NPI 1225855307
Dermatology in Bowling Green, KY

Active since September 20, 2024CLIA 18D2338752 · Microscopy
1802 ROCKINGHAM AVE, BOWLING GREEN, KY 42104(270) 213-7777(844) 444-1250 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Equity Dermatology, Pllc NPPES

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

EQUITY DERMATOLOGY, PLLC (NPI 1225855307) is a healthcare organization registered as a dermatology in Bowling Green, Kentucky and active in the NPI registry since September 2024. The organization holds a CLIA Microscopy certificate valid through February 17, 2028 and lists James T Allred, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1225855307
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEQUITY DERMATOLOGY, PLLC
Location Address1802 ROCKINGHAM AVEBowling Green, KY 42104-3348
Mailing Address1802 Rockingham AveBowling Green, KY 42104-3348 · (270) 213-7777 · Fax (844) 444-1250
Phone(270) 213-7777
Fax(844) 444-1250
Organization SubpartNo
Authorized OfficialJames T AllredDoctor/owner · (615) 428-4063
Enumeration DateSeptember 20, 2024
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1225855307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedClinic/Center · ResearchTaxonomy 261QR1100X
Also ListedPhysician AssistantTaxonomy 363A00000X
1802 ROCKINGHAM AVE, Bowling Green, KY 42104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Equity Dermatology, Pllc 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 Equity Dermatology, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Allred, MD
Dermatology
NPI 1780946160
1030 BROOKHAVEN RD
Franklin, KY 42134
(270) 715-2165
✔ PECOS✔ Accepts Medicare20 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 for Provider-Performed Microscopy Procedures (PPMP) 18D2338752

Equity Dermatology, PLLC · Bowling Green, KY
Active · expires Feb 17, 2028
CLIA Number18D2338752
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorDr. James T. Allred
Laboratory Phone(270) 467-7400
Laboratory LocationEquity Dermatology, PLLC610 Cavemill Road, Bowling Green, KY 42104
CLIA data matches this NPI record on: Name
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 Equity Dermatology, PLLC's NPI number?

The NPI number for Equity Dermatology, PLLC is 1225855307. It was assigned to this organization in the NPPES registry on September 20, 2024.

Where is Equity Dermatology, PLLC located?

Equity Dermatology, PLLC is located at 1802 Rockingham Ave, Bowling Green, KY 42104. The listed phone number is (270) 213-7777.

What is Equity Dermatology, PLLC's specialty?

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

Is Equity Dermatology, PLLC enrolled in Medicare?

Yes. Equity Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Equity Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Equity Dermatology, PLLC. 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 Equity Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 18D2338752) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Equity Dermatology, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Equity Dermatology, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Equity Dermatology, PLLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.