Jasper Dermatology, LLC
NPI 1801622642 · Dermatology Physician · Jasper, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jasper Dermatology, LLC is a Dermatology Physician organization in Jasper, AL (NPI 1801622642).
Provider details
- NPI number
- 1801622642
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dana Mccullar, Crnp/Owner/Ceo(205) 282-1802
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
1 yr 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
- Jasper Dermatology at Rastore
Registry dates
- Enumerated
- 2024-09-09
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Frequently asked questions
- What is Jasper Dermatology, LLC's NPI number?
- Jasper Dermatology, LLC's National Provider Identifier (NPI) is 1801622642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jasper Dermatology, LLC?
- Jasper Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jasper Dermatology, LLC located?
- Jasper Dermatology, LLC's practice location on file with NPPES is 87 19th St W Ste 200, Jasper, AL 35501-5430.
- What is Jasper Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jasper Dermatology, LLC is (205) 282-1802.
- Does Jasper Dermatology, LLC accept Medicare?
- Jasper 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 Jasper Dermatology, LLC?
- The authorized official listed on Jasper Dermatology, LLC's NPPES record is Dana Mccullar, Crnp/Owner/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jasper Dermatology, LLC's NPI active?
- Yes — Jasper Dermatology, LLC's NPI (1801622642) is active in the NPPES registry as of the last update on 2024-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.