DISTINCTIVE DERMATOLOGYLTD
NPI 1518028398
Dermatology in Swansea, IL
About Distinctive Dermatologyltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DISTINCTIVE DERMATOLOGYLTD (NPI 1518028398), doing business as Gregory & Associates Dermatology, Ltd, is a healthcare organization registered as a dermatology in Swansea, Illinois and active in the NPI registry since December 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 29, 2026 and lists Susan L. Journagan, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 3
Group Practice 1
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 14D0434047
Distinctive Dermatology · Fairview Heights, ILOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Distinctive Dermatologyltd's NPI number?
The NPI number for Distinctive Dermatologyltd is 1518028398. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider was formerly known as Gregory & Associates Dermatology, Ltd.
Where is Distinctive Dermatologyltd located?
Distinctive Dermatologyltd is located at 510 Fullerton Rd, Swansea, IL 62226. The listed phone number is (618) 233-7666.
What is Distinctive Dermatologyltd's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Distinctive Dermatologyltd hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 14D0434047) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Distinctive Dermatologyltd was last updated on December 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.