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MALLETTE DERMATOLOGY
NPI 1265636955
Specialist in Athens, AL

Active since June 14, 2007
707 HWY 31 S, SUITE F, ATHENS, AL 35611(256) 771-1995(256) 771-1965 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mallette Dermatology NPPES

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

MALLETTE DERMATOLOGY (NPI 1265636955) is a healthcare organization registered as a specialist in Athens, Alabama and active in the NPI registry since June 2007. The organization lists Stephen G Mallette, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1265636955
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMALLETTE DERMATOLOGY
Location Address707 HWY 31 S, SUITE FAthens, AL 35611
Mailing Address707 Hwy 31 S, Suite FAthens, AL 35611 · (256) 771-1995 · Fax (256) 771-1965
Phone(256) 771-1995
Fax(256) 771-1965
Organization SubpartNo
Authorized OfficialStephen G MalletteOwner Physician · (256) 771-1995
Enumeration DateJune 14, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1265636955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · DO841
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.
707 HWY 31 S, Athens, AL 35611
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Other Identifiers 1

Medicare UPINI12734AL

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)

Mallette Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mallette Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Stephen Mallette, D.O.
Dermatology
NPI 1700849411
707 US HIGHWAY 31 S SUITE F
Athens, AL 35611
(256) 771-1995
✔ PECOS✔ Accepts MedicareSame address
Kristy Parrish, AANP, FNP-C
Nurse Practitioner
NPI 1114412525
700 W MARKET ST
Athens, AL 35611
(256) 233-9292
✔ PECOS✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mallette Dermatology's NPI number?

The NPI number for Mallette Dermatology is 1265636955. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Mallette Dermatology located?

Mallette Dermatology is located at 707 Hwy 31 S Suite F, Athens, AL 35611. The listed phone number is (256) 771-1995.

What is Mallette Dermatology's specialty?

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

Is Mallette Dermatology enrolled in Medicare?

Yes. Mallette Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mallette Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mallette Dermatology, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mallette Dermatology was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.