Individual provider Active NPI

Sophie Wang, MD

  • Dermatology Physician
  • Birmingham, AL
National Provider Identifier
1205396330
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD.41958 Issued in AL
Practice address
3415 Independence Dr Ste 200
Birmingham, AL 35209-8315
Phone
(205) 871-7332
NPI assigned
Mar 24, 2019
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X MD.41958 AL Primary
Dermatopathology (Pathology) Physician 207ZD0900X MD.41958 AL

Addresses

Primary practice location

3415 Independence Dr Ste 200
Birmingham, AL 35209-8315

Mailing address

3415 Independence Dr Ste 200
Birmingham, AL 35209-8315
Phone (205) 871-7332

Other practice location 1

3550 Independence Dr
Birmingham, AL 35209-5710
Phone (205) 949-2806

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
I20240603000196 AL Practitioner - PathologyPractitioner - Dermatology 8325373418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCLH, Inc.Group PAC ID 8527104488, 6 clinicians
Skin Pathology Associates, LLCGroup PAC ID 9537395652, 5 clinicians

Practice addresses (Care Compare)

3415 Independence Dr
Suite 200
Birmingham, AL 35209-8315
Phone (205) 871-7332

3550 Independence Dr
Suite 200
Birmingham, AL 35209-5710
Phone (205) 949-2800

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
83.52
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions129
Skin biopsy37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.41958ALMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DCLH, Inc. Dermatology CurrentSince Jun 1, 2024 Accepting new patients
Skin Pathology Associates, LLC Dermatopathology CurrentSince Aug 1, 2024 Accepting new patients
Skin Pathology Associates, Inc Dermatopathology CurrentSince Jul 1, 2024 Accepting new patients

Locations

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

3550 Independence Dr
#200
Birmingham, AL 35209
Phone (205) 949-2800

3560 Independence Dr
Birmingham, AL 35209

3550 Independence Dr
Homewood, AL 35209
Phone (205) 949-2800

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

Interoperability endpoints

  • Direct secure messaging: swang@skinwellness.emadirect.md

Organizations & group practices 3

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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1205396330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 INDEPENDENCE DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352098315",
            "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 DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352098315",
            "telephone_number": "205-871-7332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Independence Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352095710",
            "country_code": "US",
            "telephone_number": "205-949-2806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "SOPHIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "MD.41958",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AL",
            "license": "MD.41958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.