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MONTGOMERY DERMATOLOGY, P.C.
NPI 1982877619
Dermatology in Montgomery, AL

Active since April 02, 2008CLIA 01D0960717 · Microscopy
4712 BERRY BLVD, MONTGOMERY, AL 36106(334) 834-3094 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montgomery Dermatology, P.c. NPPES

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

MONTGOMERY DERMATOLOGY, P.C. (NPI 1982877619) is a healthcare organization registered as a dermatology in Montgomery, Alabama and active in the NPI registry since April 2008. The organization holds a CLIA Microscopy certificate valid through May 17, 2027 and lists John Lee Anthony, President/owner, as its authorized official.

NPPES Registry Identity

NPI1982877619
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMONTGOMERY DERMATOLOGY, P.C.
Location Address4712 BERRY BLVDMontgomery, AL 36106-3080
Mailing Address4712 Berry BlvdMontgomery, AL 36106-3080 · (334) 834-3094 · Fax (334) 263-0598
Phone(334) 834-3094
Organization SubpartNo
Authorized OfficialJohn Lee AnthonyPresident/owner · (334) 834-3094
Enumeration DateApril 2, 2008
Last NPPES UpdateApril 21, 2021
NPPES CertifiedNovember 20, 2020
✔ NPI 1982877619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4712 BERRY BLVD, Montgomery, AL 36106
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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

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) 01D0960717

Montgomery Dermatology PC · Montgomery, AL
Active · expires May 17, 2027
CLIA Number01D0960717
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorJohn L. Anthony
Laboratory Phone(334) 834-3094
Laboratory LocationMontgomery Dermatology PC4712 Berry Boulevard, Montgomery, AL 36106
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 4

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

MRS. ELLEN SHEA BURCH-BURKHALTER PA-C
Physician Assistant
4712 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 834-3094
DR. JOHN LEE ANTHONY M.D.
Dermatology
4712 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 834-3094
PORCIA BRADFORD LOVE MD
Dermatology
4712 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 834-3094
HELEN MCLEMORE
Physician Assistant
4712 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 834-3094

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 Montgomery Dermatology, P.C.'s NPI number?

The NPI number for Montgomery Dermatology, P.C. is 1982877619. It was assigned to this organization in the NPPES registry on April 2, 2008.

Where is Montgomery Dermatology, P.C. located?

Montgomery Dermatology, P.C. is located at 4712 Berry Blvd, Montgomery, AL 36106. The listed phone number is (334) 834-3094.

What is Montgomery Dermatology, P.C.'s specialty?

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

Does Montgomery Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0960717) is associated with this NPI, valid through May 17, 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 Montgomery Dermatology, P.C. was last updated on April 21, 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.