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NOVI DERMATOLOGY PLLC
NPI 1245751007
Dermatology in Novi, MI

Active since July 03, 2017CLIA 23D2133719 · Certificate of Compliance
44000 W 12 MILE RD STE 103, NOVI, MI 48377(248) 946-4787(248) 716-5956 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 14, 2021, Jul 11, 2018, Jul 19, 2017 and 1 more (4 updates tracked since 2017).

About Novi Dermatology Pllc NPPES

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

NOVI DERMATOLOGY PLLC (NPI 1245751007) is a healthcare organization registered as a dermatology in Novi, Michigan and active in the NPI registry since July 2017. The organization holds a CLIA Certificate of Compliance certificate valid through October 31, 2027 and lists Alice C Watson, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1245751007
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNOVI DERMATOLOGY PLLC
Location Address44000 W 12 MILE RD STE 103Novi, MI 48377
Mailing Address44000 W 12 Mile Rd Ste 103Novi, MI 48377-2646 · (248) 946-4787 · Fax (248) 308-2450
Phone(248) 946-4787
Fax(248) 716-5956
Organization SubpartNo
Authorized OfficialAlice C WatsonDelegated Official · (248) 946-4787
Enumeration DateJuly 3, 2017
Last NPPES UpdateJune 14, 20214 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
✔ NPI 1245751007 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.
44000 W 12 MILE RD STE 103, Novi, MI 48377
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 of Compliance 23D2133719

Novi Dermatology/Beacon Skin And Surgeries · Novi, MI
Active · expires Oct 31, 2027
CLIA Number23D2133719
Laboratory TypeIndependent
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorAyad Abrou
Laboratory Phone(248) 946-4787
Laboratory LocationNovi Dermatology/Beacon Skin And Surgeries44000 W 12 Mile Road, Novi, MI 48377
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

JENNIFER ANN SWEARINGEN MD
Dermatology
44000 W 12 MILE RD STE 103
NOVI, MI 48377
Oakland County (248) 946-4787
ALICE C. WATSON M.D.
Dermatology
44000 W 12 MILE RD STE 103
NOVI, MI 48377
Oakland County (248) 946-4787
LISA ANN BARRON M.D.
Dermatology
44000 W 12 MILE RD STE 103
NOVI, MI 48377
Oakland County (249) 946-4787

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 Novi Dermatology PLLC's NPI number?

The NPI number for Novi Dermatology PLLC is 1245751007. It was assigned to this organization in the NPPES registry on July 3, 2017.

Where is Novi Dermatology PLLC located?

Novi Dermatology PLLC is located at 44000 W 12 Mile Rd Ste 103, Novi, MI 48377. The listed phone number is (248) 946-4787.

What is Novi Dermatology PLLC's specialty?

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

Does Novi Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D2133719) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Novi Dermatology PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Novi 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 Novi Dermatology PLLC was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.