The Gallery of Dermatology and Advanced Aesthetics
NPI 1205408630 · Dermatology Physician · Lake Charles, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Gallery of Dermatology and Advanced Aesthetics is a Dermatology Physician organization in Lake Charles, LA (NPI 1205408630).
Provider details
- NPI number
- 1205408630
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kerri Davis-Fontenot, Owner(337) 564-7546
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
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
Mailing address
Other names (DBA / former)
- Doing business as
- The Gallery
Registry dates
- Enumerated
- 2021-07-14
- Last updated
- 2021-07-14
- Certified
- 2021-07-14
Frequently asked questions
- What is The Gallery of Dermatology and Advanced Aesthetics's NPI number?
- The Gallery of Dermatology and Advanced Aesthetics's National Provider Identifier (NPI) is 1205408630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Gallery of Dermatology and Advanced Aesthetics?
- The Gallery of Dermatology and Advanced Aesthetics is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is The Gallery of Dermatology and Advanced Aesthetics located?
- The Gallery of Dermatology and Advanced Aesthetics's practice location on file with NPPES is 1936 Southwood Dr, Lake Charles, LA 70605-4131.
- What is The Gallery of Dermatology and Advanced Aesthetics's phone number?
- The practice phone number listed in the NPPES registry for The Gallery of Dermatology and Advanced Aesthetics is (337) 564-7546.
- Does The Gallery of Dermatology and Advanced Aesthetics accept Medicare?
- The Gallery of Dermatology and Advanced Aesthetics 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 The Gallery of Dermatology and Advanced Aesthetics?
- The authorized official listed on The Gallery of Dermatology and Advanced Aesthetics's NPPES record is Kerri Davis-Fontenot, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Gallery of Dermatology and Advanced Aesthetics's NPI active?
- Yes — The Gallery of Dermatology and Advanced Aesthetics's NPI (1205408630) is active in the NPPES registry as of the last update on 2021-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.