Jo Lynne Herzog, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

00013828 Issued in AL

Practice address

1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750

Phone

(053) 790-9002

Fax

(205) 206-6576

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alabama Skin Cancer and Aesthetic Center LLCGroup PAC ID 1153850607, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Alabama Skin Cancer & Aesthetic Center LLC

  • Dermatology Physician
  • Vestavia Hills, AL
  • NPI 1508673773
  Medicare reassignment Care Compare group NPD
• Retna a Billano LLC

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1831555218
  Medicare reassignment NPD
• Aqua Dermatology of Alabama PC

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

  Dermatology

  NPD (past)
• Barry C. Ginsburg, M.D., P.C.

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1689284655
  NPD (past)
• Dermatology Partners of Alabama Inc

  • Specialist
  • Birmingham, AL
  • NPI 1730228628

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1295828309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "205-379-0900",
            "fax_number": "205-206-6576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "053-790-9002",
            "fax_number": "205-206-6576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "JO",
        "middle_name": "LYNNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "00013828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "515-12103",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Carter Harper, RN
• Edwin Eugene Harris, A.T.,C.
• Sarah Wallace Hart, LPC
• HDC Professional Services LLC
• William Heartsill, PT, DPT
• Abby Hewitt, NP
• Lily Hickman
• Timothy Lucas Hicks, CRNP
• Jordan Higginbotham, RBT
• David Lawrence Higgins Jr., LPC

• Dermatology Physician in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.