SOUTHERN DERMATOLOGY OF NEW ORLEANS
NPI 1851865869
Dermatology in New Orleans, LA
About Southern Dermatology Of New Orleans NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN DERMATOLOGY OF NEW ORLEANS (NPI 1851865869) is a healthcare organization registered as a dermatology in New Orleans, Louisiana and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Katy Wiltz, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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)
Southern Dermatology Of New Orleans is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Dermatology Of New Orleans, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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
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 of Waiver 19D2162598
Southern Dermatology Of New Orleans, LLC · New Orleans, LAFrequently 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 Southern Dermatology Of New Orleans's NPI number?
The NPI number for Southern Dermatology Of New Orleans is 1851865869. It was assigned to this organization in the NPPES registry on January 14, 2019.
Where is Southern Dermatology Of New Orleans located?
Southern Dermatology Of New Orleans is located at 2633 Napoleon Ave Ste 1020, New Orleans, LA 70115. The listed phone number is (504) 891-8004.
What is Southern Dermatology Of New Orleans's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Southern Dermatology Of New Orleans enrolled in Medicare?
Yes. Southern Dermatology Of New Orleans is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Dermatology Of New Orleans?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Southern Dermatology Of New Orleans. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Southern Dermatology Of New Orleans hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2162598) is associated with this NPI, valid through February 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Southern Dermatology Of New Orleans accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Southern Dermatology Of New Orleans 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 Southern Dermatology Of New Orleans was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Southern Dermatology Of New Orleans · NPI 1851865869
Dermatology organization in New Orleans, Louisiana. Organization record, active in the CMS NPPES registry since January 14, 2019.
## Identity
- **NPI:** 1851865869 (Entity type: Organization)
- **Enumerated:** January 14, 2019
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Katy Wiltz, OWNER
## Practice location
- **Address:** 2633 NAPOLEON AVE STE 1020, New Orleans, LA 70115-7403
- **Phone:** (504) 891-8004 · **Fax:** (504) 891-8005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851865869) · Data from the CMS NPPES public registry.