Elena M Llivina, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

29784 Issued in AL

Practice address

2000 Stonegate TRL
Suite 112
Birmingham, AL 35242-2246

Phone

(205) 977-9876

Fax

(205) 977-9876

NPI assigned

Dec 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• SSD, LLC

  dba Southern Skies Dermatology and Surgery

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1134700131
  Medicare reassignment NPD
• Cutaneous Oncology & Surgery Center, LLC

  dba SmoothRock Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vestavia HLS, AL
  • NPI 1699139915
  NPD (past)
• Old Pueblo Dermatology LTD

  • Specialist
  • Tucson, AZ
  • NPI 1003934977
  NPD (past)
• Skin Care Physicians of Georgia, P.C.

  • Dermatology Physician
  • Macon, GA
  • NPI 1346351582
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1144389586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 STONEGATE TRL",
            "address_2": "SUITE 112",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422246",
            "telephone_number": "205-977-9876",
            "fax_number": "205-977-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 STONEGATE TRL",
            "address_2": "SUITE 112",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422246",
            "telephone_number": "205-977-9876",
            "fax_number": "205-977-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLIVINA",
        "first_name": "ELENA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "062913",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "29784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL HSV",
            "identifier": "510-66652",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL BHAM",
            "identifier": "510-66644",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL MGM",
            "identifier": "510-66647",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaimie Newton Livingston, RN
• Jami Leigh Livingston
• Taylor Vincent Livingston, MD
• Livwell Counseling & Consulting, L.L.C
• Llivina & Harrigill, M.D., P.C. (Southern Skies Dermatology Surgery)
• Audrey Rebecca Lloyd, M.D.
• Karson Lee Lloyd
• Kristie Lloyd
• Lewis K Lloyd, MD
• Linsley Powers Lloyd, DNP, CRNA

• Dermatology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.