Alexander City Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

14427 Issued in AL

Legal business name

ALEXANDER CITY DERMATOLOGY

Practice address

125 Alison Dr
Suite 8
Alexander City, AL 35010-4469

Phone

(256) 409-2159

Fax

(334) 501-7031

NPI assigned

Nov 8, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Lynn Mackey, M.D.NPI 1093725517

Title

President

Phone

(256) 409-2159

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

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.

• Steven Lynn Mackey, M.D.

  • Dermatology Physician
  • Alexander City, AL
  • NPI 1093725517
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1932389715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ALISON DR",
            "address_2": "SUITE 8",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104469",
            "telephone_number": "256-409-2159",
            "fax_number": "334-501-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALISON DR",
            "address_2": "SUITE 8",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350104469",
            "telephone_number": "256-409-2159",
            "fax_number": "334-501-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER CITY DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-409-2159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "14427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000038661",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529703210",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005960521",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0731200138",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51038661",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex City Internal Medicine & Nephrology
• Alexander City
• Alexander City Amb Ser
• Alexander City Dental Care, PLLC
• Alexander City Dermatology
• Basel Alrefai, MD
• Tolisha C. Andrews, OTR/L
• Virginia Bradshaw Archer, L.P.C.
• Asb Pain Services, LLC
• Julie Atkins

• Dermatology Physician in Alexander City, AL
• Providers in Alexander City, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.