CAMELLIA DERMATOLOGY, PC
NPI 1639753148
Dermatology in Foley, AL

Active since May 11, 2021CLIA 01D2236688 · Waiver
1851 N MCKENZIE ST, SUITE 104, FOLEY, AL 36535(251) 450-3700(251) 263-6333 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Camellia Dermatology, Pc NPPES

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

CAMELLIA DERMATOLOGY, PC (NPI 1639753148) is a healthcare organization registered as a dermatology in Foley, Alabama and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Amy Ananth, Provider, as its authorized official.

NPPES Registry Identity

NPI1639753148
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCAMELLIA DERMATOLOGY, PC
Location Address1851 N MCKENZIE ST, SUITE 104Foley, AL 36535
Mailing Address1851 N Mckenzie St, Suite 104Foley, AL 36535 · (251) 450-3700 · Fax (251) 263-6333
Fax(251) 263-6333
Organization SubpartNo
Authorized OfficialAmy AnanthProvider · (251) 450-3700
Enumeration DateMay 11, 2021
NPPES CertifiedMay 11, 2021
NPI 1639753148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1851 N MCKENZIE ST, Foley, AL 36535

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

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 Waiver 01D2236688

Camellia Dermatology, PC · Foley, AL
Active · expires Sep 19, 2027
CLIA Number01D2236688
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorAmy T. Ananth
Laboratory Phone(251) 424-1880
Laboratory LocationCamellia Dermatology, PC200 E Laurel Avenue, Suite 101, Foley, AL 36535
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1851 N MCKENZIE ST
FOLEY, AL 36535
Ophthalmology
1851 N MCKENZIE ST, SUITE 106
FOLEY, AL 36535
Ophthalmology
1851 N MCKENZIE ST, STE 106
FOLEY, AL 36535
Student in an Organized Health Care Education/Training Program
1851 N MCKENZIE ST
FOLEY, AL 36535
Student in an Organized Health Care Education/Training Program
1851 N MCKENZIE ST
FOLEY, AL 36535
Student in an Organized Health Care Education/Training Program
1851 N MCKENZIE ST
FOLEY, AL 36535
Student in an Organized Health Care Education/Training Program
1851 N MCKENZIE ST
FOLEY, AL 36535
Obstetrics & Gynecology
1851 N MCKENZIE ST
FOLEY, AL 36535

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 Camellia Dermatology, PC's NPI number?

The NPI number for Camellia Dermatology, PC is 1639753148. It was assigned to this organization in the NPPES registry on May 11, 2021.

Where is Camellia Dermatology, PC located?

Camellia Dermatology, PC is located at 1851 N Mckenzie St Suite 104, Foley, AL 36535. The listed phone number is (251) 450-3700.

What is Camellia Dermatology, PC's specialty?

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

Does Camellia Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2236688) is associated with this NPI, valid through September 19, 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 Camellia Dermatology, PC was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.