Pure Dermatology & Aesthetics, PC
NPI 1104176700 · Dermatology Physician · Hoover, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pure Dermatology & Aesthetics, PC is a Dermatology Physician organization in Hoover, AL (NPI 1104176700).
Provider details
- NPI number
- 1104176700
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elizabeth Martin, Physician(205) 682-8022
- License
- 21915 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-12
- Last updated
- 2012-09-12
Frequently asked questions
- What is Pure Dermatology & Aesthetics, PC's NPI number?
- Pure Dermatology & Aesthetics, PC's National Provider Identifier (NPI) is 1104176700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pure Dermatology & Aesthetics, PC?
- Pure Dermatology & Aesthetics, PC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Pure Dermatology & Aesthetics, PC located?
- Pure Dermatology & Aesthetics, PC's practice location on file with NPPES is 5346 Stadium Trace Pkwy, Hoover, AL 35244-4582.
- What is Pure Dermatology & Aesthetics, PC's phone number?
- The practice phone number listed in the NPPES registry for Pure Dermatology & Aesthetics, PC is (205) 682-8022.
- Does Pure Dermatology & Aesthetics, PC accept Medicare?
- Pure Dermatology & Aesthetics, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pure Dermatology & Aesthetics, PC?
- The authorized official listed on Pure Dermatology & Aesthetics, PC's NPPES record is Elizabeth Martin, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pure Dermatology & Aesthetics, PC's NPI active?
- Yes — Pure Dermatology & Aesthetics, PC's NPI (1104176700) is active in the NPPES registry as of the last update on 2012-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.