Organization Active NPI

CCH Ventures, LLC

Doing business as Renew Dermatology

  • Dermatology Physician
  • Birmingham, AL
National Provider Identifier
1861976060
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Megan Seibert Cherry, MDNPI 1962667238
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181106002158 AL Part B Supplier - Clinic/Group Practice 4981958188 Receives reassigned benefits from 7 practitioners
Practice locations: Birmingham, AL; Hoover, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2156980Renew Dermatology1651 Independence Court, Ste 121, Birmingham, AL 35209Provider-performed microscopyOct 28, 2026

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.