Meagan Mandabach Olivet, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

52707 Issued in AL

Practice address

500 22ND St S FL 3
Birmingham, AL 35233-3110

Phone

(205) 934-5188

NPI assigned

Apr 10, 2024

Last updated

Nov 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Meagan Kerry Mandabach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1437902186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 22ND ST S FL 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333110",
            "telephone_number": "205-934-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 22ND ST S FL 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352333110",
            "telephone_number": "205-934-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVET",
        "first_name": "MEAGAN",
        "middle_name": "MANDABACH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "52707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEAGAN",
            "last_name": "MANDABACH",
            "middle_name": "KERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert I Oliver Sr., M.D.
• Robert I Oliver Jr., M.D.
• Tiffanie M Oliver
• Tucker Oliver, MD
• Jay Olivet, PHARMD
• Nicholas J Olsen, HIS
• Axel Kenneth Olson, MD
• Kristin Marie Olson, M.D.
• Cynthia Olsson, CRNP
• Matthew Henry Oltmanns, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.