DERMATOLOGY AND SKIN HEALTH OF DOTHAN PC
NPI 1437825742
Dermatology in Dothan, AL

Active since August 17, 2021CLIA 01D2245580 · Microscopy
107 MEDICAL DRIVE, DOTHAN, AL 36303(334) 500-3844(334) 828-7547 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2022, Aug 17, 2021 (2 updates tracked since 2021).

About Dermatology And Skin Health Of Dothan Pc NPPES

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

DERMATOLOGY AND SKIN HEALTH OF DOTHAN PC (NPI 1437825742) is a healthcare organization registered as a dermatology in Dothan, Alabama and active in the NPI registry since August 2021. The organization holds a CLIA Microscopy certificate valid through December 13, 2027 and lists Amanda Pitts, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1437825742
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY AND SKIN HEALTH OF DOTHAN PC
Location Address107 MEDICAL DRIVEDothan, AL 36303
Mailing Address107 Medical DriveDothan, AL 36303 · (334) 500-3844 · Fax (334) 828-7547
Fax(334) 828-7547
Organization SubpartNo
Authorized OfficialAmanda PittsOffice Manager · (334) 828-7546
Enumeration DateAugust 17, 2021
Last NPPES UpdateMarch 23, 20222 updates tracked since enumeration
NPPES CertifiedMarch 11, 2022
✔ NPI 1437825742 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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
107 MEDICAL DRIVE, Dothan, AL 36303

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology And Skin Health Of Dothan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlabamaEnrollment IDO20220124000066Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology And Skin Health Of Dothan PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1336134733
107 MEDICAL DR
Dothan, AL 36303
(334) 828-7546
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1346235744
107 MEDICAL DR
Dothan, AL 36303
(334) 828-7546
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134426588
4300 W MAIN ST SUITE 102
Dothan, AL 36305
(334) 793-9564
✔ PECOS✔ Accepts Medicare0.4 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 for Provider-Performed Microscopy Procedures (PPMP) 01D2245580

Dermatology And Skin Health Of Dothan · Dothan, AL
Active · expires Dec 13, 2027
CLIA Number01D2245580
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorDr. Laura M. Tamburin
Laboratory Phone(334) 828-7546
Laboratory LocationDermatology And Skin Health Of Dothan107 Medical Drive, Dothan, AL 36303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Dermatology And Skin Health Of Dothan PC's NPI number?

The NPI number for Dermatology And Skin Health Of Dothan PC is 1437825742. It was assigned to this organization in the NPPES registry on August 17, 2021.

Where is Dermatology And Skin Health Of Dothan PC located?

Dermatology And Skin Health Of Dothan PC is located at 107 Medical Drive, Dothan, AL 36303. The listed phone number is (334) 500-3844.

What is Dermatology And Skin Health Of Dothan PC's specialty?

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

Is Dermatology And Skin Health Of Dothan PC enrolled in Medicare?

Yes. Dermatology And Skin Health Of Dothan PC is registered in the Medicare PECOS enrollment system.

When is Dermatology And Skin Health Of Dothan PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Dermatology And Skin Health Of Dothan PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dermatology And Skin Health Of Dothan PC, in Dermatology and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology And Skin Health Of Dothan PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D2245580) is associated with this NPI, valid through December 13, 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 Dermatology And Skin Health Of Dothan PC was last updated on March 23, 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.