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ALABAMA DERMATOLOGY AND REJUVENATION CENTER PC
NPI 1386381614
Dermatology in Jasper, AL

Active since May 18, 2022CLIA 01D0924324 · Certificate of Compliance
1606 HIGHWAY 78 W, JASPER, AL 35501(205) 295-9415(205) 295-9418 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alabama Dermatology And Rejuvenation Center Pc NPPES

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

ALABAMA DERMATOLOGY AND REJUVENATION CENTER PC (NPI 1386381614) is a healthcare organization registered as a dermatology in Jasper, Alabama and active in the NPI registry since May 2022. The organization holds a CLIA Certificate of Compliance certificate valid through June 24, 2027 and lists Tony Adar, Physician, as its authorized official.

NPPES Registry Identity

NPI1386381614
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALABAMA DERMATOLOGY AND REJUVENATION CENTER PC
Location Address1606 HIGHWAY 78 WJasper, AL 35501-3668
Mailing Address1606 Highway 78 WJasper, AL 35501-3668 · (205) 295-9415 · Fax (205) 295-9418
Phone(205) 295-9415
Fax(205) 295-9418
Organization SubpartNo
Authorized OfficialTony AdarPhysician · (917) 902-0902
Enumeration DateMay 18, 2022
NPPES CertifiedMay 18, 2022
✔ NPI 1386381614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1606 HIGHWAY 78 W, Jasper, AL 35501
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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)

Alabama Dermatology And Rejuvenation Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Alabama Dermatology And Rejuvenation Center PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Barry Ginsburg, MD
Dermatology
NPI 1790769438
972 MONTCLAIR RD STE 100
Birmingham, AL 35213
(205) 592-4880
✔ PECOS✔ Accepts Medicare36 mi
Chante Aksut, MD
Dermatology
NPI 1942696232
2279 VALLEYDALE RD STE 100
Hoover, AL 35244
(204) 215-7546
✔ PECOS✔ Accepts Medicare43 mi
Tony Adar, M.D.
Dermatology
NPI 1588851125
516 OLD COUNTRY RD
Plainview, NY 11803
(205) 933-0987
✔ PECOS✔ Accepts Medicare895 mi

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 01D0924324

Alabama Dermatology And Rejuvenation Center, PC · Jasper, AL
Active · expires Jun 24, 2027
CLIA Number01D0924324
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorDr. Tony Adar
Laboratory Phone(205) 295-9415
Laboratory LocationAlabama Dermatology And Rejuvenation Center, PC1606 Hwy 78 West, Jasper, AL 35501
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 Alabama Dermatology And Rejuvenation Center PC's NPI number?

The NPI number for Alabama Dermatology And Rejuvenation Center PC is 1386381614. It was assigned to this organization in the NPPES registry on May 18, 2022.

Where is Alabama Dermatology And Rejuvenation Center PC located?

Alabama Dermatology And Rejuvenation Center PC is located at 1606 Highway 78 W, Jasper, AL 35501. The listed phone number is (205) 295-9415.

What is Alabama Dermatology And Rejuvenation Center PC's specialty?

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

Is Alabama Dermatology And Rejuvenation Center PC enrolled in Medicare?

Yes. Alabama Dermatology And Rejuvenation Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alabama Dermatology And Rejuvenation Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Alabama Dermatology And Rejuvenation Center PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Alabama Dermatology And Rejuvenation Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D0924324) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alabama Dermatology And Rejuvenation Center PC was last updated on May 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.