Corey Louis Hartman, M.D.
Individual provider Active NPI Dermatology Physician · Birmingham, AL
NPI 1124078902 · NPPES record last updated Dec 5, 2023
Key facts
- NPI
- 1124078902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- M.D.25680 (AL)
- Practice address
- 3415 Independence Drive, Suite 200
Birmingham, AL 35209 - Phone
- (205) 871-7332
- Fax
- (205) 871-7336
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Meharry Medical College School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- DCLH, Inc.
Practice addresses (Care Compare)
3415 Independence Dr
Suite 200
Birmingham, AL 35209-8315
Phone (205) 871-7332
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 83.52
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 39 |
| Removal of skin lesions | 379 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 66 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060828000445 | AL | Practitioner - Dermatology | 6002810488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M.D.25680 | AL | MD | Dermatology Physician |
| MD25680 | AL | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DCLH, Inc. | Dermatology | Current |
Accepting new patients |
Locations
3415 Independence Dr
Ste 200
Birmingham, AL 35209
Phone (205) 871-7332
2908 Central Ave
Ste 150
Homewood, AL 35209
Phone (205) 871-7332
1920 Huntington Rd
Homewood, AL 35209
Phone (205) 871-7332
5406 Highway 280
Ste A100
Hoover, AL 35242
Phone (205) 871-7332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 25680 | AL | |
| Procedural Dermatology Physician | 207NS0135X | MD25680 | AL | |
| Dermatology Physician | 207N00000X | M.D.25680 | AL | Yes |
Addresses
Primary practice location
3415 Independence Drive, Suite 200
Birmingham, AL 35209
Mailing address
DCLH, Inc Dba/Skin Wellness Dermatology
3415 Independence Drive, Suite 200
Birmingham, AL 35209
Phone (205) 871-7332
Other providers in Birmingham, AL
- Nneka L Hartfield
- Jason Hartig
- Amelia Anne Hartje
- Shannon Maureen Hartley
- Valis D Hartley
- John Louis Hartman IV
- Nazaren Marie Hartman
- Melissa Leigh Hartmann
- Alanda Harton
- Dare Underwood Hartsell
All providers in Birmingham, AL · Dermatology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.