SHADES VALLEY DERMATOLOGY, LLC
NPI 1831548668
Dermatology in Jasper, AL

Active since June 13, 2016CLIA 01D2115014 · Microscopy
1600 5TH AVE S, JASPER, AL 35501(205) 578-1799(205) 512-1111 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2026, Jun 10, 2025, Jun 13, 2016 (3 updates tracked since 2016).

About Shades Valley Dermatology, Llc NPPES

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

SHADES VALLEY DERMATOLOGY, LLC (NPI 1831548668) is a healthcare organization registered as a dermatology in Jasper, Alabama and active in the NPI registry since June 2016. The organization holds a CLIA Microscopy certificate valid through June 26, 2028, maintains 2 additional practice locations, and lists Katherine Flanagan, Md, as its authorized official.

NPPES Registry Identity

NPI1831548668
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSHADES VALLEY DERMATOLOGY, LLC
Location Address1600 5TH AVE SJasper, AL 35501-4658
Mailing Address1600 5th Ave SJasper, AL 35501-4658 · (205) 578-1799 · Fax (205) 512-1111
Fax(205) 512-1111
Organization SubpartNo
Authorized OfficialKatherine FlanaganMd · (205) 578-1799
Enumeration DateJune 13, 2016
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
NPI 1831548668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AL · 23903
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.
1600 5TH AVE S, Jasper, AL 35501

Secondary Practice Locations 2

Location 11360 Montgomery Hwy Ste 114Vestavia Hills, AL 35216-2750 · Phone (205) 578-1799
Location 2813 Shades Creek Pkwy Ste 205Birmingham, AL 35209-4512 · Phone (205) 578-1799 · Fax (205) 578-3158

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

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) 01D2115014

Shades Valley Dermatology LLC · Jasper, AL
Active · expires Jun 26, 2028
CLIA Number01D2115014
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorKatherine H. Flanagan
Laboratory Phone(205) 578-1799
Laboratory LocationShades Valley Dermatology LLC1600 5th Avenue S, Jasper, AL 35501
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 01D2115412

Shades Valley Dermatology LLC · Vestavia Hills, AL
Expired · Jul 6, 2026
CLIA Number01D2115412
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2024
Certificate Expiration DateJuly 6, 2026
Laboratory DirectorDr. Katherine H. Flanagan MD
Laboratory Phone(205) 578-1799
Laboratory LocationShades Valley Dermatology LLC1360 Montgomery Hwy, Suite 114, Vestavia Hills, AL 35216
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.

Other Providers at the Same Location NPPES 2

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

Dermatology
1600 5TH AVE S
JASPER, AL 35501
Physician Assistant (Surgical)
1600 5TH AVE S
JASPER, AL 35501

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 Shades Valley Dermatology, LLC's NPI number?

The NPI number for Shades Valley Dermatology, LLC is 1831548668. It was assigned to this organization in the NPPES registry on June 13, 2016.

Where is Shades Valley Dermatology, LLC located?

Shades Valley Dermatology, LLC is located at 1600 5th Ave S, Jasper, AL 35501. The listed phone number is (205) 578-1799.

What is Shades Valley Dermatology, LLC's specialty?

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

Does Shades Valley Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D2115014) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shades Valley Dermatology, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Shades Valley Dermatology, LLC 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 Shades Valley Dermatology, LLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.