OrganizationActive
Aesthetic Dermatology
NPI 1164748117 · Dermatology Physician · Montgomery, AL
Aesthetic Dermatology is a Dermatology Physician organization in Montgomery, AL (NPI 1164748117).
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(84/100 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
Frequently asked questions
- What is Aesthetic Dermatology's NPI number?
- Aesthetic Dermatology's National Provider Identifier (NPI) is 1164748117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aesthetic Dermatology?
- Aesthetic Dermatology is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Aesthetic Dermatology located?
- Aesthetic Dermatology's practice location on file with NPPES is 300 Taylor Rd, Montgomery, AL 36117-3521.
- What is Aesthetic Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Aesthetic Dermatology is (334) 273-1122.
- Who is the authorized official for Aesthetic Dermatology?
- The authorized official listed on Aesthetic Dermatology's NPPES record is Athena Phan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aesthetic Dermatology's NPI active?
- Yes — Aesthetic Dermatology's NPI (1164748117) is active in the NPPES registry as of the last update on 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.