Katherine Flanagan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

23903 Issued in AL

Practice address

1600 5TH Ave S
Jasper, AL 35501-4658

Phone

(205) 578-1799

NPI assigned

May 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Tennessee, HSC, College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shades Valley Dermatology, LLCGroup PAC ID 4688966302, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.66 of 100Reported as group

Quality

57.57

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shades Valley Dermatology, LLC

  • Dermatology Physician
  • Jasper, AL
  • NPI 1831548668
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1104092675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 5TH AVE S",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014658",
            "telephone_number": "205-578-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 5TH AVE S",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355014658",
            "telephone_number": "205-578-1799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 Montgomery Hwy Ste 114",
            "address_purpose": "LOCATION",
            "city": "Vestavia Hills",
            "state": "AL",
            "postal_code": "352162750",
            "country_code": "US",
            "telephone_number": "205-578-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "23903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferris Eye Clinic
• Mark C Ferris
• Christian John Fields, PA-C
• Clydia Renee Fisher, B.S.B.S.,MSW
• Five Points Pharmacy & Dollar, LLC
• Burley Joe Flanagin, MSN, FNP-C
• Amanda Renee Foederer
• Jessica Fontenot, MS
• Forge Restorative Health, Inc.
• Lucretia Fountain

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.