Total Skin & Beauty Dermatology Center, PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, PC

Practice address

1927 1St Ave N Ste 200
Birmingham, AL 35203-4050

Phone

(059) 330-9872

Fax

(205) 930-1758

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Chandra Belle Rodivich

Title

Credentialing Secretary

Phone

(205) 380-6117

Specialties & licenses 2

Addresses

Other names 1

• Total Dermatology Doing business as

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

Interoperability endpoints

• FHIR API: https://totalskin.mmi.prod.fhir.ema-api.com/fhir/r4/

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie L. Appell, MD

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1568492775
  Medicare reassignment Care Compare group NPD
• Andrew Paul Fortugno, MD

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1811526692
  Medicare reassignment Care Compare group NPD
• Ann Michele Hill, MD

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1679507727
  Medicare reassignment Care Compare group NPD
• Callie Roberts Hill

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1013570282
  Medicare reassignment Care Compare group NPD
• Sara Hopper, CRNP

  • Adult Health Nurse Practitioner
  • Birmingham, AL
  • NPI 1972054807
  Medicare reassignment Care Compare group NPD
• Stephanie Bevans Ives, MD

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1629575055
  Medicare reassignment Care Compare group NPD
• James Krell

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1932133659
  Medicare reassignment Care Compare group NPD
• Rajini Krishna Murthy, M.D.

  • Dermatology Physician
  • Birmingham, AL
  • NPI 1417392002
  Medicare reassignment Care Compare group NPD
• Carlton Phillips

  • MOHS-Micrographic Surgery Physician
  • Birmingham, AL
  • NPI 1083974539
  Medicare reassignment Care Compare group NPD
• Heidi A Essig, PA-C

  • Medical Physician Assistant
  • Birmingham, AL
  • NPI 1265547137
  Medicare reassignment Care Compare group
• Natalie Elizabeth George, P.A.

  • Physician Assistant
  • Birmingham, AL
  • NPI 1114298510
  Medicare reassignment Care Compare group
• Amber Jackson, PA-C

  • Physician Assistant
  • Birmingham, AL
  • NPI 1588360473
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1831296888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 16TH AVE S",
            "address_2": "SUITE 202",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352055021",
            "telephone_number": "205-933-0987",
            "fax_number": "205-930-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1927 1ST AVE N STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352034050",
            "telephone_number": "059-330-9872",
            "fax_number": "205-930-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "RODIVICH",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "BELLE",
        "authorized_official_title_or_position": "CREDENTIALING SECRETARY",
        "authorized_official_telephone_number": "205-380-6117"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Total Eye Care
• Total Eye Care
• Total Eye Care PC
• Total Foot Care
• Total Recall RX LLC
• Total Skin & Beauty Pharmacy LLC
• Tots 'N' Teens Pediatrics, P.C.
• Touch of Care Home Health Services
• Touching You, Inc
• Erica Touchstone, NP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.