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: November 01, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Total Dermatology, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology6
Nurse Practitioner2
Micrographic Dermatologic Surgery (MDS)1
Pathology1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1952664682
1927 1ST AVE N STE 200
Birmingham, AL 35203
(205) 933-0987
✔ PECOSSame address
Nurse Practitioner
NPI 1972054807
1927 1ST AVE N STE 200
Birmingham, AL 35203
(205) 933-0987
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1932133659
1927 1ST AVE N STE 200
Birmingham, AL 35203
(205) 933-0987
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1417392002
1927 1ST AVE N
Birmingham, AL 35203
(205) 933-0987
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1811526692
1927 1ST AVE N STE 200
Birmingham, AL 35203
(205) 933-0987
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1629575055
1927 1ST AVE N STE 200
Birmingham, AL 35203
(205) 578-1799
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1568492775
2100 16TH AVE S SUITE 202
Birmingham, AL 35205
(205) 933-0987
✔ PECOS✔ Accepts Medicare1.5 mi
Dermatology
NPI 1679507727
2100 16TH AVE S SUITE 202
Birmingham, AL 35205
(205) 933-0987
✔ PECOS✔ Accepts Medicare1.5 mi
Dermatology
NPI 1942230248
2100 16TH AVE S SUITE 202
Birmingham, AL 35205
(205) 933-0987
✔ PECOS1.5 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1083974539
2100 16TH AVE S
Birmingham, AL 35205
(205) 933-0987
✔ PECOS✔ Accepts Medicare1.5 mi

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 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.

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 Total Skin & Beauty Dermatology Center, PC's NPI number?

The NPI number for Total Skin & Beauty Dermatology Center, PC is 1831296888. It was assigned to this organization in the NPPES registry on September 20, 2006. The provider is doing business as Total Dermatology.

Where is Total Skin & Beauty Dermatology Center, PC located?

Total Skin & Beauty Dermatology Center, PC is located at 1927 1st Ave N Ste 200, Birmingham, AL 35203. The listed phone number is (059) 330-9872.

What is Total Skin & Beauty Dermatology Center, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Total Skin & Beauty Dermatology Center, PC enrolled in Medicare?

Yes. Total Skin & Beauty Dermatology Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Total Skin & Beauty Dermatology Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 4 Medicare specialties reassign their Medicare billing to Total Skin & Beauty Dermatology Center, 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. The largest specialties are Dermatology (6), Nurse Practitioner (2) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 6 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Total Skin & Beauty Dermatology Center, PC hold CLIA laboratory certificates?

Yes. 2 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 Total Skin & Beauty Dermatology Center, PC was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.