NPIMap

Organization Active NPI

Skin Pathology Associates, LLC

  • Dermatopathology (Pathology) Physician
  • Birmingham, AL
National Provider Identifier
1376970236
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
L37107 Issued in AL
Legal business name
SKIN PATHOLOGY ASSOCIATES, LLC
Practice address
3550 Independence Dr
Birmingham, AL 35209-5710
Phone
(205) 949-2806
Fax
(205) 949-2810
NPI assigned
Oct 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Jessie James Pate
Title
Team Lead
Phone
(205) 949-2806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZD0900X L37107 AL Primary

Addresses

Primary practice location

3550 Independence Dr
Birmingham, AL 35209-5710

Mailing address

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

Other names 1

  • Skin Pathology Associates, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140110000745 AL Part B Supplier - Clinic/Group Practice 9537395652 Receives reassigned benefits from 12 practitioners
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1376970236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095710",
            "telephone_number": "205-949-2806",
            "fax_number": "205-949-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 INDEPENDENCE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352095710",
            "telephone_number": "205-949-2806",
            "fax_number": "205-949-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIN PATHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "PATE",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "TEAM LEAD",
        "authorized_official_telephone_number": "205-949-2806"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "AL",
            "license": "L37107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Skin Pathology Associates, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.