NPIMap

Organization Active NPI

Dermaccel

  • Clinic/Center
  • Trussville, AL
National Provider Identifier
1992582241
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DERMACCEL
Practice address
119 Watterson Pkwy
Trussville, AL 35173-2307
Phone
(205) 838-3545
NPI assigned
Sep 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Jonathan Wade
Title
Ceo
Phone
(919) 270-3277

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278C0205X
Pulmonary Rehabilitation Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278P1005X
Neonatal/Pediatric Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2278P3900X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

119 Watterson Pkwy
Trussville, AL 35173-2307

Mailing address

PO Box 59027
Birmingham, AL 35259-9027
Phone (919) 270-3277

Other names 2

  • Accel Specialty Health Doing business as
  • Dermaccel LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MS, AR, OH4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20231019001715 AL Part B Supplier - Clinic/Group Practice 7618323130 Receives reassigned benefits from 14 practitioners
Practice locations: Trussville, AL
O20241024004563 MS Part B Supplier - Clinic/Group Practice 7618323130 Receives reassigned benefits from 17 practitioners
Practice locations: Hattiesburg, MS
O20250205002401 AR Part B Supplier - Clinic/Group Practice 7618323130 Receives reassigned benefits from 2 practitioners
Practice locations: England, AR
O20260112003262 OH Part B Supplier - Clinic/Group Practice 7618323130 Receives reassigned benefits from 1 practitioner
Practice locations: North Canton, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1992582241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59027",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352599027",
            "telephone_number": "919-270-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WATTERSON PKWY",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732307",
            "telephone_number": "205-838-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMACCEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-270-3277"
    },
    "taxonomies": [
        {
            "code": "2278C0205X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P3900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Neonatal/Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accel Specialty Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dermaccel LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trussville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.