Dermatology and Skin Health of Dothan PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY AND SKIN HEALTH OF DOTHAN PC

Practice address

107 Medical Drive
Dothan, AL 36303

Phone

(334) 500-3844

Fax

(334) 828-7547

NPI assigned

Aug 17, 2021

Last updated

Mar 23, 2022By 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

Amanda Pitts

Title

Office Manager

Phone

(334) 828-7546

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Tonia L Ruddock, MD

  • Dermatology Physician
  • Dothan, AL
  • NPI 1336134733
  Medicare reassignment Care Compare group NPD
• Laura M Tamburin, MD

  • Dermatology Physician
  • Dothan, AL
  • NPI 1346235744
  Medicare reassignment Care Compare group NPD
• Dana L Culpepper, P.A. - C.

  • Medical Physician Assistant
  • Dothan, AL
  • NPI 1699083501
  Medicare reassignment Care Compare group
• Kelli Nicole Heer, PA-C

  • Surgical Physician Assistant
  • Dothan, AL
  • NPI 1134498132
  Medicare reassignment Care Compare group
• Norma Faye McKnight, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
  • NPI 1134426588
  Medicare reassignment NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1437825742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MEDICAL DRIVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "334-500-3844",
            "fax_number": "334-828-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL DRIVE",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "334-500-3844",
            "fax_number": "334-828-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY AND SKIN HEALTH OF DOTHAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "PITTS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "334-828-7546"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey A Dellock, MD
• Jennifer Deloney, CCC-SLP
• Lisa L Deloney, NP
• John Daniel Denney, O.D.
• April R Denton, RPH
• Dermatology Associates of Bay County, P.a.
• Dermatology Associates of Dothan, LLC (Dermatology Associates of Dothan)
• Dermatology Center South PC
• Bobby Michael Devane, PHARMD
• Jordan Devane

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.