Derma LLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

DERMA LLC

Practice address

6411 Perkins Rd Ste 202
Baton Rouge, LA 70808-4125

Phone

(225) 800-6869

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Chad Prather, MDNPI 1710095120

Title

Physician

Phone

(225) 800-6869

Specialties & licenses 2

Addresses

Other names 1

• Derma Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

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

Practitioners 4

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

• Chad Landon Prather, M.D.

  • Procedural Dermatology Physician
  • Baton Rouge, LA
  • NPI 1710095120
  Medicare reassignment Care Compare group NPD Authorized official
• Lesley Reviere Ott, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1124603154
  Medicare reassignment Care Compare group NPD
• Randi Margaret Seneca, PA-C

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1609533009
  Medicare reassignment Care Compare group
• Adam Jude Carter, MD

  • Dermatology Physician
  • Baton Rouge, LA
  • NPI 1134562861
  NPD

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1952136111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6411 PERKINS RD STE 202",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084125",
            "telephone_number": "225-800-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 PERKINS RD STE 202",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084125",
            "telephone_number": "225-800-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "PRATHER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "225-800-6869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Derma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dependable Transportation Services LLC
• Dawn Deporter, RPH
• Gregory Depron
• Taylor Deranger, LMSW
• Erin Wheeler Derbigny, MD
• Dermatology and Aesthetic Institute
• Dermatology Clinic a Professional Medical Corporation
• Peiton Derogers
• Lynda Marie Derosin
• Tevarious M Derosin

• MOHS-Micrographic Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• MOHS-Micrographic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.