Southeastern Skin Cancer & Dermatology
NPI 1538433602 · MOHS-Micrographic Surgery Physician · Madison, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Skin Cancer & Dermatology is a MOHS-Micrographic Surgery Physician organization in Madison, AL (NPI 1538433602).
Provider details
- NPI number
- 1538433602
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Albert Rivera, President(859) 351-4994
- License
- DO987 (AL)
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
14 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
Registry dates
- Enumerated
- 2012-03-06
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Frequently asked questions
- What is Southeastern Skin Cancer & Dermatology's NPI number?
- Southeastern Skin Cancer & Dermatology's National Provider Identifier (NPI) is 1538433602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Skin Cancer & Dermatology?
- Southeastern Skin Cancer & Dermatology is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southeastern Skin Cancer & Dermatology located?
- Southeastern Skin Cancer & Dermatology's practice location on file with NPPES is 104 J E Briscoe Way, Madison, AL 35758-4822.
- What is Southeastern Skin Cancer & Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Skin Cancer & Dermatology is (256) 705-3000.
- Does Southeastern Skin Cancer & Dermatology accept Medicare?
- Southeastern Skin Cancer & Dermatology 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 Southeastern Skin Cancer & Dermatology?
- The authorized official listed on Southeastern Skin Cancer & Dermatology's NPPES record is Albert Rivera, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Skin Cancer & Dermatology's NPI active?
- Yes — Southeastern Skin Cancer & Dermatology's NPI (1538433602) is active in the NPPES registry as of the last update on 2024-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.