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DECATUR DERMATOLOGY, PC
NPI 1770782849
Dermatology in Decatur, AL

Active since July 17, 2007CLIA 01D1044156 · Microscopy
620 WALNUT STREET NE, SUITE A, DECATUR, AL 35601(256) 353-7775(256) 353-7765 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Decatur Dermatology, Pc NPPES

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

DECATUR DERMATOLOGY, PC (NPI 1770782849) is a healthcare organization registered as a dermatology in Decatur, Alabama and active in the NPI registry since July 2007. The organization holds a CLIA Microscopy certificate valid through August 10, 2027 and lists Samantha Wyatt, Physician/president, as its authorized official.

NPPES Registry Identity

NPI1770782849
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDECATUR DERMATOLOGY, PC
Location Address620 WALNUT STREET NE, SUITE ADecatur, AL 35601-2456
Mailing Address620 Walnut Street Ne, Suite ADecatur, AL 35601-2456 · (256) 353-7775 · Fax (256) 353-7765
Phone(256) 353-7775
Fax(256) 353-7765
Organization SubpartNo
Authorized OfficialSamantha WyattPhysician/president · (256) 353-7775
Enumeration DateJuly 17, 2007
Last NPPES UpdateAugust 21, 2025
✔ NPI 1770782849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 · Procedural DermatologyTaxonomy 207NS0135X
620 WALNUT STREET NE, Decatur, AL 35601
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Other Identifiers 1

Medicaid529924440AL

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 for Provider-Performed Microscopy Procedures (PPMP) 01D1044156

Decatur Dermatology PC · Decatur, AL
Active · expires Aug 10, 2027
CLIA Number01D1044156
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorDr. Samantha S. Wyatt MD
Laboratory Phone(256) 353-7775
Laboratory LocationDecatur Dermatology PC620 Walnut Street NE, Decatur, AL 35601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Decatur Dermatology, PC's NPI number?

The NPI number for Decatur Dermatology, PC is 1770782849. It was assigned to this organization in the NPPES registry on July 17, 2007.

Where is Decatur Dermatology, PC located?

Decatur Dermatology, PC is located at 620 Walnut Street NE Suite A, Decatur, AL 35601. The listed phone number is (256) 353-7775.

What is Decatur Dermatology, PC's specialty?

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

Does Decatur Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D1044156) is associated with this NPI, valid through August 10, 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 Decatur Dermatology, PC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.