Active NPI
Derma Birmingham LLC
- Dermatology Physician
- Hoover, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DERMA BIRMINGHAM LLC
- Practice address
- 2142 Tyler Rd Ste 110
Hoover, AL 35226-1307 - Phone
- (205) 825-5575
- Fax
- (205) 825-5576
- NPI assigned
- Sep 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Marchiony Hunt, MD
- Title
- Owner
- Phone
- (205) 825-5575
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2142 Tyler Rd Ste 110
Hoover, AL 35226-1307
Mailing address
2142 Tyler Rd Ste 110
Hoover, AL 35226-1307
Phone (205) 825-5575
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341871 | Medicaid | AL | |
| 1104653062 | Other | NPI GROUP | |
| 1477932192 | Other | NPI | |
| 237277 | Medicaid | AL | |
| 342122 | Medicaid | AL |
Other names 1
- Derma Birmingham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2313804 | Derma Birmingham, LLC | Provider-performed microscopy | Nov 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
2142 Tyler Rd
Ste 110
Hoover, AL 35226
Phone (205) 825-5575
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Hoover, AL
- NPI 1477932192
-
- Physician Assistant
- Decatur, AL
- NPI 1457037467
-
- Student in an Organized Health Care Education/Training Program
- Hoover, AL
- NPI 1992447445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744329600000",
"number": "1104653062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 TYLER RD STE 110",
"city": "HOOVER",
"state": "AL",
"postal_code": "352261307",
"telephone_number": "205-825-5575",
"fax_number": "205-825-5576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 TYLER RD STE 110",
"city": "HOOVER",
"state": "AL",
"postal_code": "352261307",
"telephone_number": "205-825-5575",
"fax_number": "205-825-5576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMA BIRMINGHAM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-16",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A",
"authorized_official_last_name": "HUNT",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "MARCHIONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "205-825-5575",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "341871",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI GROUP",
"identifier": "1104653062",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1477932192",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "237277",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "342122",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Derma Birmingham",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.