TOTAL DERMATOLOGY
NPI 1831296888
Physician Assistant in Birmingham, AL

Active since September 20, 2006CLIA Certified · 2 labs
1927 1ST AVE N STE 200, BIRMINGHAM, AL 35203(059) 330-9872(205) 930-1758 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 21, 2022, Nov 16, 2020, Oct 4, 2018 and 1 more (4 updates tracked since 2018).

About Total Dermatology NPPES

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

TOTAL DERMATOLOGY (NPI 1831296888) is a healthcare organization registered as a physician assistant in Birmingham, Alabama and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Chandra Belle Rodivich, Credentialing Secretary, as its authorized official.

NPPES Registry Identity

NPI1831296888
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameTOTAL SKIN & BEAUTY DERMATOLOGY CENTER, PC
Location Address1927 1ST AVE N STE 200Birmingham, AL 35203-4050
Mailing Address2100 16th Ave S, Suite 202Birmingham, AL 35205-5021 · (205) 933-0987 · Fax (205) 930-1758
Fax(205) 930-1758
Organization SubpartNo
Authorized OfficialChandra Belle RodivichCredentialing Secretary · (205) 380-6117
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 22, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
NPI 1831296888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedDermatologyTaxonomy 207N00000X
1927 1ST AVE N STE 200, Birmingham, AL 35203

Other Names 1

Doing Business AsTotal Dermatology

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

CLIA Laboratory Certificates CMS CLIA 2

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) 01D2265021

Total Skin And Beauty Dermatology Center · Trussville, AL
Active · expires Jul 20, 2028
CLIA Number01D2265021
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorDr. James Krell
Laboratory Phone(205) 933-0987
Laboratory LocationTotal Skin And Beauty Dermatology Center4913 Deerfoot Pkwy, Trussville, AL 35173
CLIA data matches this NPI record on: 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.

Certificate of Compliance 01D0300651

Total Skin And Beauty Dermatology Center · Birmingham, AL
Active · expires Jun 28, 2028
CLIA Number01D0300651
Laboratory TypePhysician Office
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorC Blake Phillips
Laboratory Phone(205) 933-0987
Laboratory LocationTotal Skin And Beauty Dermatology Center1927 1st Avenue North, Suite 300, Birmingham, AL 35203
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

Physician Assistant
1927 1ST AVE N STE 200
BIRMINGHAM, AL 35203
Physician Assistant
1927 1ST AVE N STE 200
BIRMINGHAM, AL 35203
Physician Assistant
1927 1ST AVE N STE 200
BIRMINGHAM, AL 35203
Dermatology
1927 1ST AVE N STE 200
BIRMINGHAM, AL 35203
Nurse Practitioner
1927 1ST AVE N STE 200
BIRMINGHAM, AL 35203
Nurse Practitioner (Adult Health)
1927 1ST AVE N STE 200
BIRMINGHAM, AL 35203
Dermatology
1927 1ST AVE N STE 200
BIRMINGHAM, AL 35203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831296888, enumerated as an "organization" on September 20, 2006.

The provider is located at 1927 1ST AVE N STE 200 BIRMINGHAM, AL 35203 and the phone number is (059) 330-9872.

Physician Assistant with taxonomy code 363A00000X.