Renew Family Dermatology LLC
NPI 1275198913 · Dermatology Physician · Fort Payne, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renew Family Dermatology LLC is a Dermatology Physician organization in Fort Payne, AL (NPI 1275198913).
Provider details
- NPI number
- 1275198913
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pam Mason, Manager(256) 867-0851
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Medical Specialty Clinic/Center261QM2500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- Renew Family Dermatology
Registry dates
- Enumerated
- 2019-05-08
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Frequently asked questions
- What is Renew Family Dermatology LLC's NPI number?
- Renew Family Dermatology LLC's National Provider Identifier (NPI) is 1275198913, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renew Family Dermatology LLC?
- Renew Family Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Renew Family Dermatology LLC located?
- Renew Family Dermatology LLC's practice location on file with NPPES is 212 Airport Road W, Fort Payne, AL 35968.
- What is Renew Family Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Renew Family Dermatology LLC is (256) 979-1250.
- Does Renew Family Dermatology LLC accept Medicare?
- Renew Family Dermatology LLC 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 Renew Family Dermatology LLC?
- The authorized official listed on Renew Family Dermatology LLC's NPPES record is Pam Mason, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renew Family Dermatology LLC's NPI active?
- Yes — Renew Family Dermatology LLC's NPI (1275198913) is active in the NPPES registry as of the last update on 2026-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.