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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: August 09, 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 from Magnolia 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 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.

Other Providers at the Same Location NPPES 6

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

EDITH ROYAL CHENEY LMSW
Social Worker
580 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (866) 991-6864
VIRGINIA JONES REEDER M.D.
Dermatology
580 PROVIDENCE PARK DR E, 2ND FLOOR
MOBILE, AL 36695
Mobile County (251) 631-3570
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
Dermatology
580 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (251) 631-3570
DR. THOMAS W BENDER III MD
Dermatology
580 PROVIDENCE PARK DR E, 2ND FLOOR
MOBILE, AL 36695
Mobile County (251) 631-3570
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
Dermatology
580 PROVIDENCE PARK DR E, SECOND FLOOR
MOBILE, AL 36695
Mobile County (251) 631-3570
STEPHANIE REID VERGES FNP-C
Nurse Practitioner (Family)
580 PROVIDENCE PARK DR E
MOBILE, AL 36695
Mobile County (251) 631-3570

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.

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 from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer 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 23 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.