Active NPI
Cahaba Dermatology & Skin Health Center, LLC
- Dermatopathology Physician
- Hoover, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology Physician
- License
- 28104
- Legal business name
- CAHABA DERMATOLOGY & SKIN HEALTH CENTER, LLC
- Practice address
- 2279 Valleydale Rd Ste 100
Hoover, AL 35244-2111 - Phone
- (205) 214-7546
- NPI assigned
- Dec 31, 2012
- Last updated
- Feb 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vlada Groysman, M. D.
- Title
- Physician
- Phone
- (205) 214-7546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 28104 | AL | Primary |
Addresses
Primary practice location
2279 Valleydale Rd Ste 100
Hoover, AL 35244-2111
Mailing address
2279 Valleydale Rd Ste 100
Hoover, AL 35244-2111
Phone (205) 214-7546
Other practice location 1
1649 McFarland Blvd N
Tuscaloosa, AL 35406-2281
Phone (205) 214-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D2057090 | Cahaba Dermatology & Skin Health Center LLC | Certificate of waiver | Apr 15, 2027 |
| 01D2141359 | Cahaba Dermatology & Skin Health | Provider-performed microscopy | Oct 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
2279 Valleydale Rd
Ste 100
Hoover, AL 35244
Phone (205) 214-7546
2290 Valleydale Rd
Ste 204
Hoover, AL 35244
Phone (205) 214-7546
1649 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 214-7546
3965 Crosshaven Dr
Ste 113
Vestavia, AL 35243
Phone (205) 214-7546
Practitioners & affiliated clinicians
Practitioners 13
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.
-
- Dermatology Physician
- Hoover, AL
- NPI 1255545455
-
- Dermatology Physician
- Hoover, AL
- NPI 1942696232
-
- Surgical Physician Assistant
- Birmingham, AL
- NPI 1811035850
-
- Physician Assistant
- Hoover, AL
- NPI 1255876686
-
- Registered Nurse
- Hoover, AL
- NPI 1558222042
-
- Dermatology Physician
- Northport, AL
- NPI 1619462843
-
- Physician Assistant
- Hoover, AL
- NPI 1659982262
-
- Physician Assistant
- Birmingham, AL
- NPI 1821725219
-
- Family Medicine Physician
- Tuscaloosa, AL
- NPI 1790135135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356912000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1619213204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2279 VALLEYDALE RD STE 100",
"city": "HOOVER",
"state": "AL",
"postal_code": "352442111",
"telephone_number": "205-214-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 VALLEYDALE RD STE 100",
"city": "HOOVER",
"state": "AL",
"postal_code": "352442111",
"telephone_number": "205-214-7546"
}
],
"practiceLocations": [
{
"address_1": "1649 McFarland Blvd N",
"address_purpose": "LOCATION",
"city": "Tuscaloosa",
"state": "AL",
"postal_code": "354062281",
"country_code": "US",
"telephone_number": "205-214-7546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAHABA DERMATOLOGY & SKIN HEALTH CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-31",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "GROYSMAN",
"authorized_official_first_name": "VLADA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "205-214-7546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M. D."
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "AL",
"license": "28104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.