Dermatology Associates of Dothan, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY ASSOCIATES OF DOTHAN, LLC

Doing business as

Dermatology Associates of Dothan
Enterprise Dermatology
Eufaula Dermatology3 more in Other names

Practice address

2431 W Main St
Ste 501
Dothan, AL 36301

Phone

(334) 793-9222

Fax

(334) 671-0322

NPI assigned

Feb 22, 2007

Last updated

Feb 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leonard T Pynes, MDNPI 1144228388

Title

Owner

Phone

(334) 793-9222

Specialties & licenses 4

Addresses

Other identifiers 6

Other names 6

• Dermatology Associates of Dothan Doing business as
• Enterprise Dermatology Doing business as
• Eufaula Dermatology Doing business as
• Huntsville Dermatology Doing business as
• Huntsville Dermatology, LLC Doing business as
• Troy Dermatology Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dermatology Associates of Dothan, LLC

  • Specialist
  • Enterprise, AL
  • NPI 1538465323
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonard Terry Pynes, MD

  • Specialist
  • Dothan, AL
  • NPI 1144228388
  Authorized official Same address or phone

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1255466330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W MAIN ST 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": [
        {
            "address_1": "101 E Brunson St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363302500",
            "country_code": "US",
            "telephone_number": "334-793-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Eufaula",
            "state": "AL",
            "postal_code": "360271822",
            "country_code": "US",
            "telephone_number": "334-793-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 S Franklin Dr",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "AL",
            "postal_code": "360813838",
            "country_code": "US",
            "telephone_number": "334-793-9222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4810 Whitesport Cir SW Ste 110",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358017439",
            "country_code": "US",
            "telephone_number": "256-715-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF DOTHAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "PYNES",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-793-9222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085296164B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DG8208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA HUNTSVILLE",
            "identifier": "01D2143273",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "01D0670555",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA TROY",
            "identifier": "01D2111151",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529922330",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of Dothan",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Enterprise Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eufaula Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huntsville Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Huntsville Dermatology, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Troy Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Troy Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa L Deloney, NP
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• 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 Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.