Leonard Terry Pynes, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

8834 Issued in AL

Practice address

2431 W Main St
Ste 501
Dothan, AL 36301

Phone

(334) 793-9222

Fax

(334) 671-0322

NPI assigned

Jul 12, 2005

Reactivated

Mar 23, 2006

Last updated

Apr 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• L Terry Pynes Other name

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 South Alabama College of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aqua Dermatology of Alabama PCGroup PAC ID 9436211463, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tpynes@aldermatology.emadirect.md

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.

• Aqua Dermatology of Alabama PC

  dba Sunrise Dermatology

  • MOHS-Micrographic Surgery Physician
  • Vestavia HLS, AL
  • NPI 1477708642

  Dermatology

  Medicare reassignment Care Compare group NPD
• Dermatology Associates of Dothan, LLC

  dba Dermatology Associates of Dothan

  • Dermatology Physician
  • Dothan, AL
  • NPI 1255466330
  Authorized official Same address or phone
• L. Terry Pynes

  • Specialist
  • Dothan, AL
  • NPI 1063686962
  Authorized official Same address or phone
• Whitefish Dermatology LLC

  • Dermatology Physician
  • Whitefish, MT
  • NPI 1336499680
  NPD
• Cutaneous Oncology & Surgery Center, LLC

  dba SmoothRock Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vestavia HLS, AL
  • NPI 1699139915
  NPD (past)
• Mustafa a Hammad MD PA

  • Neuromusculoskeletal Medicine & OMM Physician
  • Panama City, FL
  • NPI 1063602258
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1144228388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W MAIN ST",
            "address_2": "STE 501",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011274",
            "telephone_number": "334-793-9222",
            "fax_number": "334-671-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W MAIN ST",
            "address_2": "STE 501",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36301",
            "telephone_number": "334-793-9222",
            "fax_number": "334-671-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYNES",
        "first_name": "LEONARD",
        "middle_name": "TERRY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "8834",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "8834",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000081148",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L",
            "last_name": "PYNES",
            "middle_name": "TERRY",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Wesley Purvis, O.D.
• Purvision LLC (20/20 Eye Care)
• Amanda West Pybus, CRNP
• Hillary Ryan Pybus, CRNA
• Oceania Pylant
• Emma L Quadlander-Goff, PH.D., LPC, NCC
• Jenny Quevedo, PHD
• Quick Labs
• Sandra Michele Quinn, CRNP
• Clifford C Quintana, M.D.

• Specialist in Dothan, AL
• Providers in Dothan, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.