Active NPI
CCH Ventures, LLC
Doing business as Renew Dermatology
- Dermatology Physician
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- CCH VENTURES, LLC
- Doing business as
- Renew Dermatology
- Practice address
- 1651 Independence CT Ste 211
Birmingham, AL 35209 - Phone
- (205) 287-6120
- Fax
- (205) 844-3399
- NPI assigned
- Sep 24, 2018
- Last updated
- Apr 6, 2021
- 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
- Megan Seibert Cherry, MD
- Title
- Member
- Phone
- (205) 937-6789
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
1651 Independence CT Ste 211
Birmingham, AL 35209
Mailing address
1651 Independence CT Ste 211
Birmingham, AL 35209-4179
Phone (205) 580-1500
Other practice location 1
1651 Independence Ct Ste 211
Birmingham, AL 35209
Phone (205) 287-6120
Other names 1
- Renew Dermatology
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 |
|---|---|---|---|
| 01D2156980 | Renew Dermatology | Provider-performed microscopy | Oct 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
1651 Independence Ct
Ste 121
Birmingham, AL 35209
Phone (205) 287-6120
1651 Independence Ct
Ste 125
Homewood, AL 35209
2827 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 547-2323
2901 Cahaba Rd
Mountain Brk, AL 35223
Practitioners & affiliated clinicians
Practitioners 7
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
- Birmingham, AL
- NPI 1962667238
-
- Dermatology Physician
- Homewood, AL
- NPI 1255862454
-
- Family Nurse Practitioner
- Homewood, AL
- NPI 1013600923
-
- Dermatology Physician
- Birmingham, AL
- NPI 1326075425
-
- Adult Health Nurse Practitioner
- Homewood, AL
- NPI 1447792338
-
- Dermatology Physician
- Birmingham, AL
- NPI 1396913281
-
- Medical Physician Assistant
- Homewood, AL
- NPI 1619081171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617667200000",
"number": "1861976060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 INDEPENDENCE CT STE 211",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094179",
"telephone_number": "205-580-1500",
"fax_number": "205-844-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 INDEPENDENCE CT STE 211",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "35209",
"telephone_number": "205-287-6120",
"fax_number": "205-844-3399"
}
],
"practiceLocations": [
{
"address_1": "1651 Independence Ct Ste 211",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "35209",
"country_code": "US",
"telephone_number": "205-287-6120",
"fax_number": "205-844-3399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CCH VENTURES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-24",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A",
"authorized_official_last_name": "CHERRY",
"authorized_official_first_name": "MEGAN",
"authorized_official_middle_name": "SEIBERT",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "205-937-6789",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Renew Dermatology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Renew Dermatology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Birmingham, AL
- Thomas Hilton Cawthon Jr., M.D.
- Chase Cawyer, M.D.
- Francisco Jose Caycedo, MD
- CC Enterprises, LLC
- Cccarter,OD and Associates,PC
- CCRC Opco - Galleria Woods, LLC (Galleria Woods Skilled Nursing Facility)
- Alan Tyler Cease, M.D.
- Allison Stewart Cease, NURSE PRACTITIONER
- Sergi Cebrian-Claramunt
- Dominique Cecil, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.