SHELBY DERMATOLOGY, PC
NPI 1740375856
Specialist in Alabaster, AL

Q: What is Shelby Dermatology, PC's NPI number?

The NPI number for Shelby Dermatology, PC is 1740375856. It was assigned to this organization in the NPPES registry on October 4, 2006.

Q: What is Shelby Dermatology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 04, 2006

1022 1ST STREET NORTH, SUITE 201, ALABASTER, AL 35007(205) 621-9500 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Shelby Dermatology, Pc NPPES

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

SHELBY DERMATOLOGY, PC (NPI 1740375856) is a healthcare organization registered as a specialist in Alabaster, Alabama and active in the NPI registry since October 2006. The organization lists Robert Land Henderson, President, as its authorized official.

NPPES Registry Identity

NPI1740375856

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSHELBY DERMATOLOGY, PC

Location Address1022 1ST STREET NORTH, SUITE 201Alabaster, AL 35007

Mailing Address1022 1st Street North, Suite 201Alabaster, AL 35007 · (205) 621-9500

Phone(205) 621-9500

Organization SubpartNo

Authorized OfficialRobert Land HendersonPresident · (205) 621-9500

Enumeration DateOctober 4, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1740375856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AL · 00025681

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1022 1ST STREET NORTH, Alabaster, AL 35007

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Other Identifiers 1

Other51532549AL · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Dermatology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Shelby Dermatology, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Gregory Bourgeois, M.D.

Dermatology

NPI 1073749677

1022 1ST ST N STE 201
Alabaster, AL 35007

(205) 621-9500

✔ PECOS✔ Accepts MedicareSame address

Robert Henderson, MD

Dermatology

NPI 1306833041

1022 1ST ST N SUITE 201
Alabaster, AL 35007

(205) 621-9500

✔ PECOS✔ Accepts MedicareSame address

Marian Northington, MD

Dermatology

NPI 1841220589

619 19TH STREET SOUTH
Birmingham, AL 35233

(205) 934-4011

✔ PECOS✔ Accepts Medicare16 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 Shelby Dermatology, PC's NPI number?

The NPI number for Shelby Dermatology, PC is 1740375856. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Shelby Dermatology, PC located?

Shelby Dermatology, PC is located at 1022 1st Street North Suite 201, Alabaster, AL 35007. The listed phone number is (205) 621-9500.

What is Shelby Dermatology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shelby Dermatology, PC enrolled in Medicare?

Yes. Shelby Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shelby Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Shelby Dermatology, PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shelby Dermatology, PC accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Shelby Dermatology, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shelby Dermatology, PC was last updated on August 22, 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.