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NPI · 1477708642 · NPPES-sourced

Aqua Dermatology Of Alabama PC

ActiveDermatology, Mohs Surgery
NPI Number
1477708642
Type 2 · Organisation
Taxonomy Code
207ND0101X
Contact
(205) 977-9876
License AL · 20579
Last Updated
Enumerated
Primary practice addressAL · 35242
1940 Stonegate Dr Ste 130Vestavia Hls, AL 35242
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About this NPIWhat this record shows.

NPI 1477708642 is registered to Aqua Dermatology Of Alabama PC, a healthcare organisation classified as "Dermatology, Mohs Surgery" and located at 1940 Stonegate Dr Ste 130 in Vestavia Hls, Alabama. The organisation's authorised official is Karen Lake. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Aqua Dermatology Of Alabama PC accepts. To confirm in-network status with your specific health plan, contact Aqua Dermatology Of Alabama PC directly at (205) 977-9876.

Frequently asked

Yes. NPI 1477708642 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology, Mohs Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (205) 977-9876.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Aqua Dermatology Of Alabama PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207ND0101X
Last updated
Enumerated
StatusActive
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10 records · same addressOther providers at this location.

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Same specialtyOther Dermatology, Mohs Surgery providers in Alabama.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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