Organization Active NPI

Nash Dermatology, LLC

  • Dermatology Physician
  • Auburn, AL
National Provider Identifier
1942742325
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
NASH DERMATOLOGY, LLC
Practice address
1935 E Glenn Ave Ste 101
Auburn, AL 36830-5999
Phone
(334) 539-8049
NPI assigned
Nov 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Kevin T Nash, MDNPI 1326201856
Title
Physician
Phone
(334) 539-8049

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

1935 E Glenn Ave Ste 101
Auburn, AL 36830-5999

Mailing address

1935 E Glenn Ave Ste 101
Auburn, AL 36830-5999
Phone (334) 539-8049

Other practice location 1

1425 Greenbrier Dear Rd
Anniston, AL 36207-8706
Phone (334) 539-8049

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170206000517 AL Part B Supplier - Clinic/Group Practice 2163705757 Receives reassigned benefits from 7 practitioners
Practice locations: Auburn, 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
01D2123092Nash Dermatology LLC1935 East Glenn Ave Suite 101, Auburn, AL 36830ComplianceSep 7, 2027

National Provider Directory

National Provider Directory

Locations

801 Noble St
Ste 600
Anniston, AL 36201
Phone (334) 539-8049

1935 E Glenn Ave
Auburn, AL 36830
Phone (334) 539-8049

1935 E Glenn Ave
Ste 101
Auburn, AL 36830
Phone (334) 539-8049

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1942742325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 E GLENN AVE STE 101",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305999",
            "telephone_number": "334-539-8049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 E GLENN AVE STE 101",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305999",
            "telephone_number": "334-539-8049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Greenbrier Dear Rd",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362078706",
            "country_code": "US",
            "telephone_number": "334-539-8049",
            "fax_number": "334-521-7454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NASH DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "334-539-8049",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.