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ADVANCED DERMATOLOGY & SKIN CARE CENTRE
NPI 1366936759
Dermatology in Mobile, AL

Active since June 19, 2018CLIA 01D0918760 · Certificate of Compliance
580 PROVIDENCE PARK DR E, MOBILE, AL 36695(251) 631-3570(251) 631-3572 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 22, 2018, Jun 21, 2018 (2 updates tracked since 2018).

About Advanced Dermatology & Skin Care Centre NPPES

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

ADVANCED DERMATOLOGY & SKIN CARE CENTRE (NPI 1366936759) is a healthcare organization registered as a dermatology in Mobile, Alabama and active in the NPI registry since June 2018. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2027, maintains 2 additional practice locations, and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1366936759
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address580 PROVIDENCE PARK DR EMobile, AL 36695-4614
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Phone(251) 631-3570
Fax(251) 631-3572
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateJune 19, 2018
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1366936759 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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
580 PROVIDENCE PARK DR E, Mobile, AL 36695
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Other Names 1

Doing Business AsAdvanced Dermatology & Skin Care Centre

Secondary Practice Locations 2

Location 18573 County Road 64Daphne, AL 36526-8706 · Phone (251) 621-2244 · Fax (251) 621-7209
Location 22305 Hand AveBay Minette, AL 36507-4191 · Phone (251) 631-3570 · Fax (251) 631-3572

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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)

Advanced Dermatology & Skin Care Centre is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

29

Medicare enrollment records show 29 clinicians reassign Medicare billing to Advanced Dermatology & Skin Care Centre, which bills Medicare for the services they deliver. Of these, 6 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Dermatology20
Nurse Practitioner9

Nearest to this location (20)

See all 29
Thomas Bender, MD
Dermatology
NPI 1649266792
580 PROVIDENCE PARK DR E 2ND FLOOR
Mobile, AL 36695
(251) 631-3570
✔ PECOS✔ Accepts MedicareSame address
Monica Bravo, MD
Dermatology
NPI 1699303636
580 PROVIDENCE PARK DR E FL 2
Mobile, AL 36695
(251) 631-3570
✔ PECOS✔ Accepts MedicareSame address
Cary Dunn, M.D.
Dermatology
NPI 1639163298
580 PROVIDENCE PARK DR E FL 2
Mobile, AL 36695
(251) 631-3570
✔ PECOS✔ Accepts MedicareSame address
Virginia Reeder, M.D.
Dermatology
NPI 1265666820
580 PROVIDENCE PARK DR E 2ND FLOOR
Mobile, AL 36695
(251) 631-3570
✔ PECOS✔ Accepts MedicareSame address
Erin Risco, NP
Nurse Practitioner
NPI 1295172989
580 PROVIDENCE PARK DR E FL 2
Mobile, AL 36695
(251) 631-3570
✔ PECOS✔ Accepts MedicareSame address
Stephanie Verges, FNP-C
Nurse Practitioner
NPI 1821832916
580 PROVIDENCE PARK DR E
Mobile, AL 36695
(251) 631-3570
✔ PECOS✔ Accepts MedicareSame address
Eran Gwillim, M.D.
Dermatology
NPI 1851787477
200 ROCK CREEK PKWY
Fairhope, AL 36532
(251) 928-3844
✔ PECOS✔ Accepts Medicare20 mi
Heather Haley, MD
Dermatology
NPI 1063493716
202 ROCK CREEK PARKWAY
Fairhope, AL 36532
(251) 928-3844
✔ PECOS✔ Accepts Medicare20 mi
Aubrey Pugh, CRNP
Nurse Practitioner
NPI 1760924211
202 ROCK CREEK PKWY
Fairhope, AL 36532
(251) 928-3844
✔ PECOS✔ Accepts Medicare20 mi
Sheree Lacoste, NP-C
Nurse Practitioner
NPI 1730426925
1620 N MCKENZIE ST
Foley, AL 36535
(251) 501-2240
✔ PECOS✔ Accepts Medicare36 mi
Bonnie Hodge, MD
Dermatology
NPI 1861955429
1203 AVE B
Ellisville, MS 39437
(601) 477-1003
✔ PECOS✔ Accepts Medicare87 mi
John Peters, D.O.
Dermatology
NPI 1013004860
2798 DOGWOOD ACRES
Crestview, FL 32536
(406) 299-0871
✔ PECOS✔ Accepts Medicare98 mi
Caroline Daggett, MD
Dermatology
NPI 1083234926
113 W JACKSON ST STE 2C
Ridgeland, MS 39157
(601) 607-8222
✔ PECOS✔ Accepts Medicare166 mi
Kelsey Kennedy
Dermatology
NPI 1194222844
252 INVERNESS CENTER DR
Birmingham, AL 35242
(205) 997-2966
✔ PECOS✔ Accepts Medicare208 mi
Alison Peterson, CRNP
Nurse Practitioner
NPI 1225661952
252 INVERNESS CENTER DR
Birmingham, AL 35242
(205) 997-2966
✔ PECOS✔ Accepts Medicare208 mi
Maria Marks, MD
Dermatology
NPI 1437367182
250 INVERNESS CENTER DR
Birmingham, AL 35242
(205) 995-5575
✔ PECOS✔ Accepts Medicare208 mi
Madison Stokes, MD
Dermatology
NPI 1497320295
250 INVERNESS CENTER DR
Birmingham, AL 35242
(205) 995-5575
✔ PECOS✔ Accepts Medicare208 mi
Wendy Cantrell, CRNP
Nurse Practitioner
NPI 1538100789
2900 CAHABA RD
Mountain Brk, AL 35223
(205) 877-9773
✔ PECOS✔ Accepts Medicare210 mi
Brittany Clark, FNP-BC
Nurse Practitioner
NPI 1598159147
1419 HAMRIC DR E STE 101
Oxford, AL 36203
(256) 235-3660
✔ PECOS✔ Accepts Medicare246 mi
Molly Johnson, FNP-C
Nurse Practitioner
NPI 1962823104
2471 HELTON DR
Florence, AL 35630
(256) 765-2000
✔ PECOS✔ Accepts Medicare288 mi
See all 29 clinicians

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 of Compliance 01D0918760

Forefront Dermatology, Sc Advanced Dermatology & Skin Care Centre, A Forfron · Daphne, AL
Active · expires Apr 4, 2027
CLIA Number01D0918760
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorDr. Thomas W. Bender
Laboratory Phone(251) 631-3570
Laboratory LocationForefront Dermatology, Sc Advanced Dermatology & Skin Care Centre, A Forfron8573 County Road 64, Daphne, AL 36526
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.

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 Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1366936759. It was assigned to this organization in the NPPES registry on June 19, 2018. The provider is doing business as Advanced Dermatology & Skin Care Centre.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 580 Providence Park Dr E, Mobile, AL 36695. The listed phone number is (251) 631-3570.

What is Forefront Dermatology, S.C.'s specialty?

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

Is Forefront Dermatology, S.C. enrolled in Medicare?

Yes. Forefront Dermatology, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Forefront Dermatology, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 29 clinicians in 2 Medicare specialties reassign their Medicare billing to Forefront Dermatology, S.C.. 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. The largest specialties are Dermatology (20) and Nurse Practitioner (9). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Forefront Dermatology, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D0918760) is associated with this NPI, valid through April 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forefront Dermatology, S.C. accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Forefront Dermatology, S.C. 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 Forefront Dermatology, S.C. was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.