OrganizationActive
Great State 2019 Inc
NPI 1124757588 · Dermatology Physician · Tuscaloosa, AL
Great State 2019 Inc is a Dermatology Physician organization in Tuscaloosa, AL (NPI 1124757588).
Provider details
- NPI number
- 1124757588
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daniel Sparkman, Executive Director(205) 509-9055
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
4960 Rice Mine Rd Ne Ste 30a
Tuscaloosa, AL 35406-3136
Phone: (205) 509-9055
Street-level locationGet directions
Mailing address
4960 Rice Mine Rd Ne Ste 30a
Tuscaloosa, AL 35406-3136
Other names (DBA / former)
- Doing business as
- Great State Alabama
- Doing business as
- Great State Rural Clinics
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Frequently asked questions
- What is Great State 2019 Inc's NPI number?
- Great State 2019 Inc's National Provider Identifier (NPI) is 1124757588, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great State 2019 Inc?
- Great State 2019 Inc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Great State 2019 Inc located?
- Great State 2019 Inc's practice location on file with NPPES is 4960 Rice Mine Rd Ne Ste 30a, Tuscaloosa, AL 35406-3136.
- What is Great State 2019 Inc's phone number?
- The practice phone number listed in the NPPES registry for Great State 2019 Inc is (205) 509-9055.
- Who is the authorized official for Great State 2019 Inc?
- The authorized official listed on Great State 2019 Inc's NPPES record is Daniel Sparkman, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great State 2019 Inc's NPI active?
- Yes — Great State 2019 Inc's NPI (1124757588) is active in the NPPES registry as of the last update on 2022-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.