Dermatology Associates of Bay County, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.

Practice address

1733 W Main St Ste 500
Dothan, AL 36301-1321

Phone

(850) 769-7546

Fax

(850) 785-2123

NPI assigned

Mar 23, 2011

Last updated

Oct 6, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.As reported in NPPES

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

Authorized official

Name

Alisha Johnson

Title

Practice Manager

Phone

(850) 769-1668

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dermatology Associates of Bay County, P.a.

  • Dermatology Physician
  • Panama City, FL
  • NPI 1215904404

  O20110412000387

  Same enrollment

Part of

Dermatology Assoc of Ba

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1235438748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054542",
            "telephone_number": "850-769-1668",
            "fax_number": "850-785-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 W MAIN ST STE 500",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011321",
            "telephone_number": "850-769-7546",
            "fax_number": "850-785-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.",
        "enumeration_date": "2011-03-23",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "850-769-1668"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000164600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB7612",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Deloney, CCC-SLP
• Lisa L Deloney, NP
• John Daniel Denney, O.D.
• April R Denton, RPH
• Dermatology and Skin Health of Dothan PC
• Dermatology Associates of Dothan, LLC (Dermatology Associates of Dothan)
• Dermatology Center South PC
• Bobby Michael Devane, PHARMD
• Jordan Devane
• Dialysis Clinic Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.