Affiliated Dermatology, PC
NPI 1124008636 · Procedural Dermatology Physician · Dothan, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Affiliated Dermatology, PC is a Procedural Dermatology Physician organization in Dothan, AL (NPI 1124008636).
Provider details
- NPI number
- 1124008636
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lois Sallas, Administrator(334) 793-9564
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-01-19
- Last updated
- 2025-09-11
Frequently asked questions
- What is Affiliated Dermatology, PC's NPI number?
- Affiliated Dermatology, PC's National Provider Identifier (NPI) is 1124008636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Affiliated Dermatology, PC?
- Affiliated Dermatology, PC is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Affiliated Dermatology, PC located?
- Affiliated Dermatology, PC's practice location on file with NPPES is 4300 W Main St, Dothan, AL 36305-1054.
- What is Affiliated Dermatology, PC's phone number?
- The practice phone number listed in the NPPES registry for Affiliated Dermatology, PC is (334) 793-9564.
- Does Affiliated Dermatology, PC accept Medicare?
- Affiliated Dermatology, 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 Affiliated Dermatology, PC?
- The authorized official listed on Affiliated Dermatology, PC's NPPES record is Lois Sallas, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Affiliated Dermatology, PC's NPI active?
- Yes — Affiliated Dermatology, PC's NPI (1124008636) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.