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RENEW FAMILY DERMATOLOGY LLC
NPI 1275198913
Dermatology in Fort Payne, AL

Active since May 08, 2019CLIA 01D2175645 · Certificate of Compliance
212 AIRPORT ROAD W, FORT PAYNE, AL 35968(256) 979-1250(256) 979-1251 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Jun 26, 2024, Jun 4, 2024 and 3 more (6 updates tracked since 2019).

About Renew Family Dermatology Llc NPPES

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

RENEW FAMILY DERMATOLOGY LLC (NPI 1275198913), doing business as Renew Family Dermatology, is a healthcare organization registered as a dermatology in Fort Payne, Alabama and active in the NPI registry since May 2019. The organization holds a CLIA Certificate of Compliance certificate valid through January 18, 2027 and lists Pam Mason, Manager, as its authorized official.

NPPES Registry Identity

NPI1275198913
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRENEW FAMILY DERMATOLOGY LLC
Location Address212 AIRPORT ROAD WFort Payne, AL 35968
Mailing Address212 Airport Rd WFort Payne, AL 35968-3335 · (256) 979-1250 · Fax (256) 979-1251
Phone(256) 979-1250
Fax(256) 979-1251
Organization SubpartNo
Authorized OfficialPam MasonManager · (256) 867-0851
Enumeration DateMay 8, 2019
Last NPPES UpdateMarch 5, 20266 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1275198913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 · Medical SpecialtyTaxonomy 261QM2500X
212 AIRPORT ROAD W, Fort Payne, AL 35968
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Other Names 1

Doing Business AsRenew Family Dermatology

Other Identifiers 1

Medicaid236456AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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 01D2175645

Renew Family Dermatology LLC · Fort Payne, AL
Active · expires Jan 18, 2027
CLIA Number01D2175645
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorMichael S. Digby
Laboratory Phone(256) 979-1250
Laboratory LocationRenew Family Dermatology LLC212 Airport Road W, Fort Payne, AL 35968
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.

MRS. KATIE ELISE SEWELL CRNP
Nurse Practitioner
212 AIRPORT ROAD W
FORT PAYNE, AL 35968
Dekalb County (256) 979-1250
BRILEE JOHNSON
Physician Assistant
212 AIRPORT ROAD W
FORT PAYNE, AL 35968
Dekalb County (256) 979-1250
LACI RENAE ROBERTSON
Nurse Practitioner
212 AIRPORT ROAD W
FORT PAYNE, AL 35968
Dekalb County (256) 979-1250

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 Renew Family Dermatology LLC's NPI number?

The NPI number for Renew Family Dermatology LLC is 1275198913. It was assigned to this organization in the NPPES registry on May 8, 2019. The provider is doing business as Renew Family Dermatology.

Where is Renew Family Dermatology LLC located?

Renew Family Dermatology LLC is located at 212 Airport Road W, Fort Payne, AL 35968. The listed phone number is (256) 979-1250.

What is Renew Family Dermatology LLC's specialty?

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

Does Renew Family Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D2175645) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renew Family Dermatology LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Renew Family Dermatology LLC 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 Renew Family Dermatology LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.