South Alabama Dermatology and Surgery Center LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

SOUTH ALABAMA DERMATOLOGY AND SURGERY CENTER LLC

Doing business as

South Alabama Dermatology
Sweetbay Dermatology LLC

Practice address

6451 Merritt Blvd Ste D
Daphne, AL 36526-4827

Phone

(917) 836-5771

NPI assigned

Jun 10, 2026

Last updated

Aug 28, 2026By 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

Larisa Ravitskiy, MDNPI 1144230905

Title

Medical Director

Phone

(251) 220-0080

Specialties & licenses 2

Addresses

Other names 2

• South Alabama Dermatology Doing business as
• Sweetbay Dermatology LLC Doing business as

Locations

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.

• Larisa Ravitskiy, MD

  • Dermatology Physician
  • Daphne, AL
  • NPI 1144230905
  NPD Authorized official

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1427982818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 MERRITT BLVD STE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264827",
            "telephone_number": "251-220-0080",
            "fax_number": "251-220-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 MERRITT BLVD STE D",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264827",
            "telephone_number": "917-836-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALABAMA DERMATOLOGY AND SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "RAVITSKIY",
        "authorized_official_first_name": "LARISA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "251-220-0080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Alabama Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sweetbay Dermatology LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Daphne, AL
• Providers in Daphne, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.