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SUNRISE DERMATOLOGY
NPI 1477708642
Dermatology - MOHS-Micrographic Surgery in Vestavia Hls, AL

Active since December 01, 2008CLIA Certified · 6 labs
1940 STONEGATE DR STE 130, VESTAVIA HLS, AL 35242(205) 977-9876(205) 977-9976 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 25, 2024, Sep 2, 2020, Aug 8, 2018 (3 updates tracked since 2018).

About Sunrise Dermatology NPPES

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

SUNRISE DERMATOLOGY (NPI 1477708642) is a healthcare organization registered as a mohs-micrographic surgery in Vestavia Hls, Alabama and active in the NPI registry since December 2008. The organization holds 6 active CLIA laboratory certificates and lists Karen Lake, Administration, as its authorized official.

NPPES Registry Identity

NPI1477708642
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameAQUA DERMATOLOGY OF ALABAMA PC
Location Address1940 STONEGATE DR STE 130Vestavia Hls, AL 35242
Mailing Address1940 Stonegate Dr Ste 130Vestavia Hls, AL 35242-2541 · (205) 977-9876 · Fax (205) 977-9976
Phone(205) 977-9876
Fax(205) 977-9976
Organization SubpartNo
Authorized OfficialKaren LakeAdministration · (205) 977-9786
Enumeration DateDecember 1, 2008
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1477708642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in AL · 20579
Definition
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.
Also ListedDermatologyTaxonomy 207N00000X · License 20579 (AL)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 20579 (AL)
1940 STONEGATE DR STE 130, Vestavia Hls, AL 35242
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Other Names 3

Doing Business AsSunrise Dermatology
Doing Business AsSurgical Dermatology Group
Doing Business AsTrue Dermatology

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 7

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) 01D2345097

Aqua Dermatology Of Alabama, PC Dba Surgical Dermatology Group · Jasper, AL
Active · expires Jun 3, 2028
CLIA Number01D2345097
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorDr. Brian King
Laboratory Phone(205) 977-9876
Laboratory LocationAqua Dermatology Of Alabama, PC Dba Surgical Dermatology Group1440 Jones Diary Road, Jasper, AL 35501
CLIA data matches this NPI record on: 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.

Certificate of Compliance 01D1016733

Aqua Dermatology Of Alabama PC Surgical Dermatology Group - Huntsville · Huntsville, AL
Active · expires Apr 13, 2028
CLIA Number01D1016733
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2026
Certificate Expiration DateApril 13, 2028
Laboratory DirectorDr. Christopher B. Harmon
Laboratory Phone(205) 977-9876
Laboratory LocationAqua Dermatology Of Alabama PC Surgical Dermatology Group - Huntsville4810 Whitesport Circle SW Suite 110, Huntsville, AL 35801
CLIA data matches this NPI record on: 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.

Certificate of Compliance 01D1016731

Aqua Dermatology Of Alabama PC Surgical Dermatology Group · Montgomery, AL
Active · expires Mar 28, 2028
CLIA Number01D1016731
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorDr. Christopher B. Harmon
Laboratory Phone(205) 977-9876
Laboratory LocationAqua Dermatology Of Alabama PC Surgical Dermatology Group7300 Halcyon Summitt Drive, Montgomery, AL 36117
CLIA data matches this NPI record on: 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.

Certificate of Compliance 01D2018153

Aqua Dermatology Of Alabama PC Surgical Dermatology Group · Birmingham, AL
Active · expires Nov 2, 2027
CLIA Number01D2018153
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorDr. Jonathan A. Cappel
Laboratory Phone(205) 977-9876
Laboratory LocationAqua Dermatology Of Alabama PC Surgical Dermatology Group1401 Edwards Lake Road, Birmingham, AL 35235
CLIA data matches this NPI record on: 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.

Certificate of Compliance 01D2129536

Aqua Dermatology Of Alabama PC Surgical Dermatology Grp Dothan · Dothan, AL
Active · expires Sep 12, 2027
CLIA Number01D2129536
Laboratory TypePhysician Office
Certificate Effective DateSeptember 13, 2025
Certificate Expiration DateSeptember 12, 2027
Laboratory DirectorDr. Jonathan A. Cappel
Laboratory Phone(205) 977-9876
Laboratory LocationAqua Dermatology Of Alabama PC Surgical Dermatology Grp Dothan2431 West Main Street Suite 501, Dothan, AL 36301
CLIA data matches this NPI record on: 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.

Certificate of Compliance 01D1092927

Aqua Dermatology Of Alabama PC Surgical Dermatology Group · Vestavia Hills, AL
Active · expires Jun 22, 2027
CLIA Number01D1092927
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorDr. Christopher B. Harmon
Laboratory Phone(205) 977-9876
Laboratory LocationAqua Dermatology Of Alabama PC Surgical Dermatology Group1940 Stonegate Drive, Suite 130, Vestavia Hills, AL 35242
CLIA data matches this NPI record on: 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 11

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

JONATHAN A CAPPEL MD
Dermatology (Procedural Dermatology)
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 35242
Shelby County (205) 977-9876
THOMAS ALEXANDER HARRISON
Dermatology
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 35242
Shelby County (205) 977-9876
WASIM HAIDARI MD
Dermatology
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 35242
Shelby County (205) 977-9876
BRIAN JAMES KING M.D.
Dermatology (MOHS-Micrographic Surgery)
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 35242
Shelby County (205) 977-9876
CHRISTOPHER BARRY HARMON MD
Dermatology (MOHS-Micrographic Surgery)
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 35242
Shelby County (205) 977-9876
MIRANDA P FRITH PA-C
Physician Assistant (Surgical)
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 35242
Shelby County (205) 977-9876
MRS. ERICA STILL PA-C
Physician Assistant
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 35242
Shelby County (205) 977-9876
MRS. LAUREN V ROBINSON PA-C
Physician Assistant (Surgical)
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL 35242
Shelby County (205) 977-9876

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 Aqua Dermatology Of Alabama PC's NPI number?

The NPI number for Aqua Dermatology Of Alabama PC is 1477708642. It was assigned to this organization in the NPPES registry on December 1, 2008. The provider is doing business as Sunrise Dermatology, Surgical Dermatology Group and True Dermatology.

Where is Aqua Dermatology Of Alabama PC located?

Aqua Dermatology Of Alabama PC is located at 1940 Stonegate Dr Ste 130, Vestavia Hls, AL 35242. The listed phone number is (205) 977-9876.

What is Aqua Dermatology Of Alabama PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Aqua Dermatology Of Alabama PC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Aqua Dermatology Of Alabama PC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Aqua Dermatology Of Alabama PC 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 Aqua Dermatology Of Alabama PC was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.