SOUTHERN INSTITUTE OF AESTHETICS, PC
NPI 1386044543
Dermatology - MOHS-Micrographic Surgery in Dothan, AL

NPI Status: Active since August 25, 2014

Contact Information

1733 W MAIN ST
SUITE 500
DOTHAN, AL
ZIP 36301
Phone: (334) 699-7546
Fax: (334) 699-7548

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  • Organization
  • Dermatology
  • MOHS-Micrographic Surgery
  • CLIA Number: 01D2089501
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-13-2027

About SOUTHERN INSTITUTE OF AESTHETICS, PC

This page provides the complete NPI Profile along with additional information for Southern Institute Of Aesthetics, Pc, a provider established in Dothan, Alabama operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1386044543 assigned on August 2014. The practitioner's primary taxonomy code is 207ND0101X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Angela L Bookout Do (President/dermatologist)

NPI
1386044543
Provider Legal Name
SOUTHERN INSTITUTE OF AESTHETICS, PC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1733 W MAIN ST SUITE 500 DOTHAN, AL 36301
Location Phone
(334) 699-7546
Location Fax
(334) 699-7548
Mailing Address
101 CREEKSIDE CROSSING STE 1700 PMB 161 BRENTWOOD, TN 37027
Mailing Phone
(334) 699-7546
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-25-2014
Last Update Date
10-08-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology MOHS-Micrographic Surgery

Taxonomy Code
207ND0101X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELA L BOOKOUT DO

Authorized Official Title
PRESIDENT/DERMATOLOGIST
Authorized Official Phone
(334) 699-7546

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
01D2089501
Facility Type
Physician Office
Certificate Effective Date
May 14, 2025
Certificate Expiration Date
May 13, 2027
Laboratory Director
ANGELA L. BOOKOUT
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Southern Institute Of Aesthetics, Pc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1386044543, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 6 + 6 + 0 + 4 + 8 + 5 + 8 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1386044543.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation (Pain Medicine)
1733 W MAIN ST, SUITE 100
DOTHAN, AL 36301
Speech-Language Pathologist
1733 W MAIN ST
DOTHAN, AL 36301
Dermatology (MOHS-Micrographic Surgery)
1733 W MAIN ST, SUITE 500
DOTHAN, AL 36301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386044543, enumerated as an "organization" on August 25, 2014.

The provider is located at 1733 W MAIN ST SUITE 500 DOTHAN, AL 36301 and the phone number is (334) 699-7546.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.