Heather R Haley, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

22797 Issued in AL

Practice address

202 Rock Creek Parkway
Fairhope, AL 36532-3349

Phone

(251) 928-3844

Fax

(251) 928-3353

NPI assigned

Nov 9, 2005

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

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

Specialty

Dermatology

Education

University of Alabama School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hh4645@forefrontdermatology.emadirect.md

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

• Forefront Dermatology, S.C.

  dba Advanced Dermatology & Skin Care Centre

  • Dermatology Physician
  • Mobile, AL
  • NPI 1366936759
  Medicare reassignment Care Compare group NPD
• Haley Dermatology LLC

  • Legal Medicine
  • Fairhope, AL
  • NPI 1194891150
  Authorized official Same address or phone
• Forefront Dermatology, S.C.

  dba Inverness Dermatology & Laser, A Forefront Dermatology Practice

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1497235592
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1063493716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROCK CREEK PARKWAY",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323349",
            "telephone_number": "251-928-3844",
            "fax_number": "251-928-3353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Rock Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fairhope",
            "state": "AL",
            "postal_code": "365323349",
            "country_code": "US",
            "telephone_number": "251-928-3844",
            "fax_number": "251-928-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 N McKenzie St",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365352248",
            "country_code": "US",
            "telephone_number": "251-501-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "HEATHER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "22797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NO",
            "identifier": "051516754",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HH4645@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "202 Rock Creek Parkway",
            "city": "Fairhope",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365323349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HH4645@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "200 Rock Creek Pkwy",
            "city": "Fairhope",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365323349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HH4645@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1620 N McKenzie St",
            "city": "Foley",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365352248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Heather Guy, LMT
• Eran Gwillim, M.D.
• Gynecology and Infertility Associates, PC (Ahmet Helvacioglu)
• Karl V Hakmiller, MD
• Haley Dermatology LLC
• John Patrick Haley III, DMD
• Randall L. Hall, M.D.
• John H. Halliday, CRNA
• Hames New Co, Inc (Beltone Audiology)
• William R Hammock Jr., DMD

• Dermatology Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.