Individual provider Active NPI

Kevin Tyler Nash, MD, PHD

  • Dermatology Physician
  • Auburn, AL
National Provider Identifier
1326201856
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
33668 Issued in AL
Practice address
1935 E Glenn Ave
Auburn, AL 36830-5998
Phone
(334) 539-8049
Fax
(334) 521-7454
NPI assigned
Jul 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 69316 GA
MOHS-Micrographic Surgery Physician 207ND0101X 33668 AL
Dermatopathology Physician 207ND0900X 33668 AL
Student in an Organized Health Care Education/Training Program 390200000X 4301092081 MI
Dermatology Physician 207N00000X 33668 AL Primary

Addresses

Primary practice location

1935 E Glenn Ave
Auburn, AL 36830-5998

Mailing address

1935 E Glenn Ave
Auburn, AL 36830-5998
Phone (334) 539-8049

Other practice location 1

2375 Champions Blvd
Suite 100
Auburn, AL 36830-6471
Phone (334) 539-8049

Other practice location 2

1425 Greenbrier Dear Rd
Anniston, AL 36207-8706
Phone (334) 539-8049

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
I20141017001477 AL Practitioner - Dermatology 8224270053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nash Dermatology LLCGroup PAC ID 2163705757, 6 clinicians

Practice addresses (Care Compare)

1935 E Glenn Ave
Suite 101
Auburn, AL 36830-5999
Phone (334) 539-8049

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as individual
Quality
73.03
Promoting interoperability
87
Improvement activities
40
Cost
77.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision344
Removal of skin lesions1005
Removal of skin cancer815
Skin biopsy584

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69316GAMDDermatology Physician
33668ALMDMOHS-Micrographic Surgery Physician
4301092081MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Nash Dermatology, LLC Dermatology CurrentSince Jan 1, 2017 Accepting new patients
Skin Care Physicians of Georgia, P.C. Dermatology PastSince Dec 1, 1999 Accepting new patients

Locations

1425 Greenbrier Dear Rd
Anniston, AL 36207
Phone (256) 770-4327

1935 E Glenn Ave
Ste 101
Auburn, AL 36830
Phone (334) 539-8049

1935 E Glenn Ave
Auburn, AL 36830
Phone (334) 539-8049

2375 Champions Blvd
Auburn, AL 36830
Phone (334) 745-6447

2375 Champions Blvd
Ste 100
Auburn, AL 36830
Phone (334) 539-8049

Interoperability endpoints

  • Direct secure messaging: kevin.nash@gcd.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1326201856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305998",
            "telephone_number": "334-539-8049",
            "fax_number": "334-521-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 E GLENN AVE",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305998",
            "telephone_number": "334-539-8049",
            "fax_number": "334-521-7454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 Champions Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368306471",
            "country_code": "US",
            "telephone_number": "334-539-8049",
            "fax_number": "334-521-7454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1425 Greenbrier Dear Rd",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362078706",
            "country_code": "US",
            "telephone_number": "334-539-8049",
            "fax_number": "334-521-7454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "KEVIN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "69316",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "33668",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AL",
            "license": "33668",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301092081",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "33668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.