ALABAMA DERMATOLOGY AND SKIN SPECIALISTS, LLC
NPI 1700543618
Dermatology in Huntsville, AL
About Alabama Dermatology And Skin Specialists, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALABAMA DERMATOLOGY AND SKIN SPECIALISTS, LLC (NPI 1700543618) is a healthcare organization registered as a dermatology in Huntsville, Alabama and active in the NPI registry since November 2021. The organization holds 3 active CLIA laboratory certificates and lists John Macarthur Evans, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alabama Dermatology And Skin Specialists, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Alabama Dermatology And Skin Specialists, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Huntsville, AL 35802
Huntsville, AL 35802
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 3
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 01D2250375
Alabama Dermatology And Skin Specialists, LLC · Huntsville, ALCertificate of Waiver 01D2310538
Alabama Dermatology And Skin Specialists · Scottsboro, ALCertificate of Compliance 01D2310540
Alabama Dermatology And Skin Specialists · Athens, ALFrequently 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 Alabama Dermatology And Skin Specialists, LLC's NPI number?
The NPI number for Alabama Dermatology And Skin Specialists, LLC is 1700543618. It was assigned to this organization in the NPPES registry on November 26, 2021.
Where is Alabama Dermatology And Skin Specialists, LLC located?
Alabama Dermatology And Skin Specialists, LLC is located at 2045 Cecil Ashburn Dr SE Ste 201, Huntsville, AL 35802. The listed phone number is (256) 925-3376.
What is Alabama Dermatology And Skin Specialists, LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Alabama Dermatology And Skin Specialists, LLC enrolled in Medicare?
Yes. Alabama Dermatology And Skin Specialists, LLC is registered in the Medicare PECOS enrollment system.
When is Alabama Dermatology And Skin Specialists, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alabama, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Alabama Dermatology And Skin Specialists, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Alabama Dermatology And Skin Specialists, LLC. 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 Nurse Practitioner (5) and Dermatology (4). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Alabama Dermatology And Skin Specialists, LLC hold CLIA laboratory certificates?
Yes. 3 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.
When was this NPI record last updated?
The NPPES record for Alabama Dermatology And Skin Specialists, LLC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Alabama Dermatology And Skin Specialists, Llc · NPI 1700543618
Dermatology organization in Huntsville, Alabama. Organization record, active in the CMS NPPES registry since November 26, 2021.
## Identity
- **NPI:** 1700543618 (Entity type: Organization)
- **Enumerated:** November 26, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** John Evans, OWNER
## Practice location
- **Address:** 2045 CECIL ASHBURN DR SE STE 201, Huntsville, AL 35802-2564
- **Phone:** (256) 925-3376
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Alabama, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Dermatology (4); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2022
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700543618) · Data from the CMS NPPES public registry.