Individual provider Active NPI

Scarlette D Smith, M.D.

  • Dermatology Physician
  • Cullman, AL
National Provider Identifier
1386636132
Registry record updated Feb 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15896 Issued in AL
Practice address
1705 Main Ave SW
Suite B
Cullman, AL 35055-7206
Phone
(256) 739-8260
Fax
(256) 739-8263
NPI assigned
Aug 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 15896 AL Primary

Addresses

Primary practice location

1705 Main Ave SW
Suite B
Cullman, AL 35055-7206

Mailing address

1705 Main Ave SW
Suite B
Cullman, AL 35055-7206
Phone (256) 739-8260

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
I20080225000622 AL Practitioner - Dermatology 6507940855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Alabama College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warehouse Primary Care and Specialty Clinic Inc.Group PAC ID 8527446301, 10 clinicians

Practice addresses (Care Compare)

117 2ND Ave SE
Cullman, AL 35055-3511
Phone (256) 291-8877

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions495
Removal or shaving of skin growth1-10
Skin biopsy72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warehouse Primary Care & Specialty Clinic Inc. Dermatology CurrentSince Oct 1, 2023 Accepting new patients

Locations

117 2nd Ave SE
Cullman, AL 35055
Phone (256) 291-8877

Interoperability endpoints

  • Direct secure messaging: scarlette.smith@948034614067204.direct.elationemr.com
  • Direct secure messaging: ssmith@warehousederm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203724800000",
    "number": "1386636132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 MAIN AVE SW",
            "address_2": "SUITE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557206",
            "telephone_number": "256-739-8260",
            "fax_number": "256-739-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 MAIN AVE SW",
            "address_2": "SUITE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350557206",
            "telephone_number": "256-739-8260",
            "fax_number": "256-739-8263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SCARLETTE",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "15896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.