AFFILIATED DERMATOLOGY, PC
AFFILIATED DERMATOLOGY, PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124008636, based in Dothan, AL. The organization lists 3 taxonomy classifications, with Procedural Dermatology Physician recorded as primary.
Getting there
The practice address on file is 4300 W MAIN ST SUITE 102, Dothan, AL 36305. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 2163401332
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Procedural Dermatology covers
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). NUCC Health Care Provider Taxonomy, code 207NS0135X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207NS0135X | Procedural Dermatology Physician Procedural Dermatology | — | — | primary |
| 207N00000X | Dermatology Physician | — | — | |
| 207ND0101X | MOHS-Micrographic Surgery Physician MOHS-Micrographic Surgery | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1124008636 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 19, 2006 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
4300 W MAIN ST SUITE 102 Dothan, AL 36305 (334) 793-9564 Fax (334) 671-8907 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 0 | 0 | 8 | 6 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 0 | 0 | 7 | 6 | 6 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.