ADVANCED DERMATOLOGY OF ALABAMA, INC.
NPI 1538773775
Dermatology in Montgomery, AL
About Advanced Dermatology Of Alabama, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY OF ALABAMA, INC. (NPI 1538773775) is a healthcare organization registered as a dermatology in Montgomery, Alabama and active in the NPI registry since September 2020. The organization lists Matt Leavitt, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Dermatology Of Alabama, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Advanced Dermatology Of Alabama, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (9)
Birmingham, AL 35205
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Advanced Dermatology Of Alabama, Inc.'s NPI number?
The NPI number for Advanced Dermatology Of Alabama, Inc. is 1538773775. It was assigned to this organization in the NPPES registry on September 4, 2020.
Where is Advanced Dermatology Of Alabama, Inc. located?
Advanced Dermatology Of Alabama, Inc. is located at 286 Mitylene Park Dr, Montgomery, AL 36117. The listed phone number is (407) 875-2080.
What is Advanced Dermatology Of Alabama, Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Advanced Dermatology Of Alabama, Inc. enrolled in Medicare?
Yes. Advanced Dermatology Of Alabama, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Dermatology Of Alabama, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Advanced Dermatology Of Alabama, Inc.. 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. The largest specialties are Dermatology (7) and Nurse Practitioner (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Advanced Dermatology Of Alabama, Inc. was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.