Individual provider Active NPI

Vernon Forrester, MD

  • MOHS-Micrographic Surgery Physician
  • Madison, AL
National Provider Identifier
1679002729
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD.44256 Issued in AL
Practice address
104 J E Briscoe Way
Madison, AL 35758-4822
Phone
(256) 705-3000
Fax
(256) 705-3105
NPI assigned
Jun 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.142138 OH
MOHS-Micrographic Surgery Physician 207ND0101X MD.44256 AL Primary

Addresses

Primary practice location

104 J E Briscoe Way
Madison, AL 35758-4822

Mailing address

104 J E Briscoe Way
Madison, AL 35758-4822
Phone (256) 705-3000

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
I20220510000494 AL Practitioner - Dermatology 2264702901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Virginia Commonwealth University, School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Skin Cancer and DermatologyGroup PAC ID 0648427856, 9 clinicians

Practice addresses (Care Compare)

104 J E Briscoe Way
Madison, AL 35758-4822
Phone (256) 705-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.56 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
78.53

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision160
Removal of tissue1-10
Removal of skin lesions846
Removal of skin cancer725
Removal or shaving of skin growth1-10
Skin biopsy434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.142138OHMDDermatology Physician
MD.44256ALMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aqua Dermatology of Alabama PC Dermatology CurrentSince Nov 1, 2023 Accepting new patients
Southeastern Skin Cancer & Dermatology Mohs-Micrographic Surgery CurrentSince May 1, 2024 Accepting new patients
Cutaneous Oncology & Surgery Center, LLC Past Accepting new patients

Locations

104 J E Briscoe Way
Madison, AL 35758
Phone (256) 705-3000

70 Midtown Park E
Mobile, AL 36606
Phone (251) 289-1786

1940 Stonegate Dr
Ste 140
Vestavia Hls, AL 35242
Phone (205) 968-3919

1940 Stonegate Dr
Ste 130
Vestavia Hls, AL 35242
Phone (205) 451-9481

Interoperability endpoints

  • Direct secure messaging: vforrester@sederm.emadirect.md
  • Direct secure messaging: vforrester@aldermatology.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1679002729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 J E BRISCOE WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584822",
            "telephone_number": "256-705-3000",
            "fax_number": "256-705-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 J E BRISCOE WAY",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357584822",
            "telephone_number": "256-705-3000",
            "fax_number": "256-705-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "VERNON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-11",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.142138",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AL",
            "license": "MD.44256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.