Active NPI
Corey Louis Hartman, M.D.
- Dermatology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- M.D.25680
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.