Individual provider Active NPI

Carlton Phillips

  • MOHS-Micrographic Surgery Physician
  • Birmingham, AL
National Provider Identifier
1083974539
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
33033 Issued in AL
Practice address
2100 16TH Ave S
Birmingham, AL 35205
Phone
(205) 933-0987
Fax
(205) 930-1758
NPI assigned
May 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 33033 AL Primary

Addresses

Primary practice location

2100 16TH Ave S
Birmingham, AL 35205

Mailing address

2100 16TH Ave S
Birmingham, AL 35205-5021
Phone (205) 933-0987

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
I20170822002374 AL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9537309018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Texas Medical School at Houston, 2012
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

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as individual
Quality
76.35
Promoting interoperability
96
Improvement activities
40
Cost
80.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision352
Removal of tissue38
Removal of skin lesions1105
Removal of skin cancer1837
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy771

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2017 Accepting new patients
Total Skin & Beauty Dermatology Center, PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

1720 2nd Ave S
#500
Birmingham, AL 35294

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

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

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

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

Interoperability endpoints

  • FHIR API: https://totalskin.mmi.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: bphillips@totalskin.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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1083974539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 16TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352055021",
            "telephone_number": "205-933-0987",
            "fax_number": "205-930-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 16TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35205",
            "telephone_number": "205-933-0987",
            "fax_number": "205-930-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CARLTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "33033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.