Individual provider Active NPI

Corey Louis Hartman, M.D.

  • Dermatology Physician
  • Birmingham, AL
National Provider Identifier
1124078902
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M.D.25680 Issued in AL
Practice address
3415 Independence Drive, Suite 200
Birmingham, AL 35209
Phone
(205) 871-7332
Fax
(205) 871-7336
NPI assigned
May 11, 2006
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25680 AL
Procedural Dermatology Physician 207NS0135X MD25680 AL
Dermatology Physician 207N00000X M.D.25680 AL Primary

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

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
I20060828000445 AL Practitioner - Dermatology 6002810488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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.Group PAC ID 8527104488, 6 clinicians

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 100Reported as group
Quality
83.52
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision39
Removal of skin lesions379
Removal or shaving of skin growth1-10
Skin biopsy66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M.D.25680ALMDDermatology Physician
MD25680ALMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DCLH, Inc. Dermatology CurrentSince Oct 26, 2009 Accepting new patients

Locations

3415 Independence Dr
Ste 200
Birmingham, AL 35209
Phone (205) 871-7332

1920 Huntington Rd
Homewood, AL 35209
Phone (205) 871-7332

2908 Central Ave
Ste 150
Homewood, AL 35209
Phone (205) 871-7332

5406 Highway 280
Ste A100
Hoover, AL 35242
Phone (205) 871-7332

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1124078902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DCLH, INC DBA/SKIN WELLNESS DERMATOLOGY",
            "address_2": "3415 INDEPENDENCE DRIVE, SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-871-7332",
            "fax_number": "205-871-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 INDEPENDENCE DRIVE, SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-871-7332",
            "fax_number": "205-871-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "COREY",
        "middle_name": "LOUIS",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "25680",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AL",
            "license": "MD25680",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "M.D.25680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.