Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTH ALABAMA DERMATOLOGY AND SURGERY CENTER LLC
NPI 1427982818
Dermatology in Daphne, AL

Active since June 10, 2026CLIA 01D2348244 · Certificate of Compliance
6451 MERRITT BLVD STE D, DAPHNE, AL 36526(917) 836-5771 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 28, 2026, Jul 27, 2026, Jul 24, 2026 (3 updates tracked since 2026).

About South Alabama Dermatology And Surgery Center Llc NPPES

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

SOUTH ALABAMA DERMATOLOGY AND SURGERY CENTER LLC (NPI 1427982818), doing business as South Alabama Dermatology, is a healthcare organization registered as a dermatology in Daphne, Alabama and active in the NPI registry since June 2026. The organization holds a CLIA Certificate of Compliance certificate valid through August 3, 2028 and lists Larisa Ravitskiy, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1427982818
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSOUTH ALABAMA DERMATOLOGY AND SURGERY CENTER LLC
Location Address6451 MERRITT BLVD STE DDaphne, AL 36526-4827
Mailing Address6451 Merritt Blvd Ste DDaphne, AL 36526-4827 · (251) 220-0080 · Fax (251) 220-0081
Organization SubpartNo
Authorized OfficialLarisa RavitskiyMedical Director · (251) 220-0080
Enumeration DateJune 10, 2026
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1427982818 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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
6451 MERRITT BLVD STE D, Daphne, AL 36526

Other Names 2

Doing Business AsSouth Alabama Dermatology
Doing Business AsSweetbay Dermatology Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 01D2348244

South Alabama Dermatology And Surgery Center · Daphne, AL
Active · expires Aug 3, 2028
CLIA Number01D2348244
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2026
Certificate Expiration DateAugust 3, 2028
Laboratory DirectorLarisa Ravitskiy
Laboratory Phone(251) 220-0080
Laboratory LocationSouth Alabama Dermatology And Surgery Center6451 Merritt Blvd Ste D, 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

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

Dermatology
6451 MERRITT BLVD STE D
DAPHNE, AL 36526

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 South Alabama Dermatology And Surgery Center LLC's NPI number?

The NPI number for South Alabama Dermatology And Surgery Center LLC is 1427982818. It was assigned to this organization in the NPPES registry on June 10, 2026. The provider is doing business as South Alabama Dermatology and Sweetbay Dermatology LLC.

Where is South Alabama Dermatology And Surgery Center LLC located?

South Alabama Dermatology And Surgery Center LLC is located at 6451 Merritt Blvd Ste D, Daphne, AL 36526. The listed phone number is (917) 836-5771.

What is South Alabama Dermatology And Surgery Center LLC's specialty?

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

Does South Alabama Dermatology And Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 01D2348244) is associated with this NPI, valid through August 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Alabama Dermatology And Surgery Center LLC was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.