Individual provider Active NPI

Callie Roberts Hill

  • Dermatology Physician
  • Birmingham, AL
National Provider Identifier
1013570282
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.42122 Issued in AL
Practice address
1927 1St Ave N
Birmingham, AL 35203-4024
Phone
(205) 933-0987
Fax
(205) 930-1750
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD.42122 AL
Dermatology Physician 207N00000X MD.42122 AL Primary

Addresses

Primary practice location

1927 1St Ave N
Birmingham, AL 35203-4024

Mailing address

625 19TH St S
Birmingham, AL 35233-1900
Phone (205) 934-9666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240626002624 AL Practitioner - Internal Medicine 8022351840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Skin and Beauty Dermatology Center, PCGroup PAC ID 9335043033, 13 clinicians

Practice addresses (Care Compare)

1927 1St Ave N
Suite 200
Birmingham, AL 35203-4050
Phone (205) 933-0987

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision159
Removal of tissue1-10
Removal of skin lesions343
Removal of skin cancer1029
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.42122ALMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Skin & Beauty Dermatology Center, PC Dermatology CurrentSince Jul 1, 2024 Accepting new patients

Locations

1927 1st Ave N
Ste 200
Birmingham, AL 35203
Phone (205) 933-0987

931 Sharit Ave
Ste 201
Gardendale, AL 35071
Phone (205) 933-0987

931 Sharit Ave
Gardendale, AL 35071

Interoperability endpoints

  • FHIR API: https://totalskin.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1013570282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "205-934-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 1ST AVE N",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034024",
            "telephone_number": "205-933-0987",
            "fax_number": "205-930-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CALLIE",
        "middle_name": "ROBERTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "MD.42122",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD.42122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.