ADVANCED DERMATOLOGY OF ALABAMA, INC.
NPI 1538773775
Dermatology in Montgomery, AL

Active since September 04, 2020
286 MITYLENE PARK DR, MONTGOMERY, AL 36117(407) 875-2080(407) 650-3455 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

NPI1538773775
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF ALABAMA, INC.
Location Address286 MITYLENE PARK DRMontgomery, AL 36117-3548
Mailing Address151 Southhall Ln Ste 300Maitland, FL 32751-7172 · (407) 875-2080 · Fax (407) 650-3455
Fax(407) 650-3455
Organization SubpartNo
Authorized OfficialMatt LeavittOwner · (407) 875-2080
Enumeration DateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
✔ NPI 1538773775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
286 MITYLENE PARK DR, Montgomery, AL 36117

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 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

9

Medicare 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)

Dermatology
NPI 1720188196
286 MITYLENE PARK DR
Montgomery, AL 36117
(334) 396-1555
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1609396324
1935 E GLENN AVE STE 101
Auburn, AL 36830
(334) 539-8049
✔ PECOS✔ Accepts Medicare46 mi
Dermatology
NPI 1255320115
3940 MONTCLAIR RD SUITE 410
Birmingham, AL 35213
(205) 879-7066
✔ PECOS✔ Accepts Medicare85 mi
Dermatology
NPI 1356315568
833 SAINT VINCENTS DR STE 300 POB III
Birmingham, AL 35205
(205) 939-4512
✔ PECOS✔ Accepts Medicare86 mi
Dermatology
NPI 1306283411
1419 HAMRIC DR E STE 101
Oxford, AL 36203
(256) 235-3660
✔ PECOS✔ Accepts Medicare88 mi
Dermatology
NPI 1013004860
2798 DOGWOOD ACRES
Crestview, FL 32536
(406) 299-0871
✔ PECOS✔ Accepts Medicare111 mi
Nurse Practitioner
NPI 1821441957
1925 W MAIN ST SUITE 102
Centre, AL 35960
(256) 677-4552
✔ PECOS✔ Accepts Medicare125 mi
Dermatology
NPI 1447646419
18652 FAIRWAY DR
Detroit, MI 48221
(313) 790-5469
✔ PECOS✔ Accepts Medicare713 mi
Dermatology
NPI 1417981192
3120 WEBSTER ST
Oakland, CA 94609
(510) 681-8587
✔ PECOS✔ Accepts Medicare2,066 mi

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.