OrganizationActive
Aesthetic Dermatology
NPI 1164748117 · Dermatology Physician · Montgomery, AL
Provider details
- NPI number
- 1164748117
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Athena Phan, Owner(334) 273-1122
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
300 Taylor Rd
Suite 800
Montgomery, AL 36117-3521
Phone: (334) 273-1122
Street-level locationGet directions
Mailing address
2257 Taylor Rd
Montgomery, AL 36117-7790
Registry dates
- Enumerated
- 2010-04-15
- Last updated
- 2010-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.