Individual provider Active NPI

Anna S Kim, M.D.

  • Dermatology Physician
  • Huntsville, AL
National Provider Identifier
1063869352
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD39251 Issued in AL
Practice address
2045 Cecil Ashburn Dr SE
Huntsville, AL 35802-2563
Phone
(256) 925-3376
Fax
(256) 216-4290
NPI assigned
May 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME149913 FL
Dermatology Physician 207N00000X G39107A GA
Dermatology Physician 207N00000X MD39251 AL Primary
MOHS-Micrographic Surgery Physician 207ND0101X G39107A GA

Addresses

Primary practice location

2045 Cecil Ashburn Dr SE
Huntsville, AL 35802-2563

Mailing address

2045 Cecil Ashburn Dr SE Ste 201
Huntsville, AL 35802-2564
Phone (256) 925-3376

Other identifiers 1

IdentifierTypeStateIssuer
110609400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200611003338 AL Practitioner - Dermatology 9032531454 Reassigns benefits to 1 organization
I20230802002929 GA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 9032531454

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Dermatology and Skin Specialists LLCGroup PAC ID 3375936396, 9 clinicians

Practice addresses (Care Compare)

2045 Cecil Ashburn Dr SE
Suite 201
Huntsville, AL 35802-2564
Phone (256) 925-3376

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision44
Removal of skin lesions32
Removal of skin cancer125
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD39251ALMDDermatology Physician
G39107AGAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Dermatology and Skin Specialists, LLC Dermatology CurrentSince Dec 6, 2025 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Locations

2045 Cecil Ashburn Dr SE
Ste 201
Huntsville, AL 35802
Phone (256) 881-5874

Interoperability endpoints

  • Direct secure messaging: annakim@aadermaffiliates.emadirect.md

Organizations & group practices 2

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1063869352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 CECIL ASHBURN DR SE STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022564",
            "telephone_number": "256-925-3376",
            "fax_number": "256-216-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 CECIL ASHBURN DR SE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022563",
            "telephone_number": "256-925-3376",
            "fax_number": "256-216-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ANNA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME149913",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "G39107A",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD39251",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "G39107A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110609400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.