Active NPI 1104092675 Individual Practitioner Female Practitioner

Dr. Katherine Flanagan , MD

Dermatology • Jasper, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Katherine Flanagan, MD is a certified Dermatology practicing in Jasper, AL. With approximately 27 years of clinical experience since graduating from University Of Tennessee, Hsc, College Of Medicine in 1999, Dr. Flanagan delivers high-quality medical care to the local community at 1600 5TH AVE S.

Dr. Flanagan is affiliated with Shades Valley Dermatology, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 5th Ave S

Jasper, AL 355014658

Telephone 2055781799

Associated Practice Facility / Clinic

🏢 Shades Valley Dermatology, Llc Facility NPI 1831548668

Medicare Profile & Education

Medical School

University Of Tennessee, Hsc, College Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Jasper, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs Matches City Avg

City Avg: 27.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Jasper, AL (178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

29.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Flanagan (27 Years) 27 Yrs

Jasper Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	641	442	$104.00	$82.36
17003 Destruction of precancer skin growth, 2-14 growths	457	110	$16.00	$5.78
17110 Destruction of up to 14 skin growths	291	230	$127.00	$98.42
11102 Tangential biopsy of single skin lesion	283	200	$116.00	$74.89
17000 Destruction of skin growth	252	188	$77.00	$42.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	162	$148.00	$116.06
11103 Biopsy of related skin growth, each additional growth	90	53	$60.00	$42.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	65	$65.00	$50.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$130.00	$101.29
11200 Removal of skin tag, 1-15 skin tags	30	29	$102.00	$56.54
11900 Injection into skin growth, 1-7 growths	29	28	$65.00	$43.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	23	$2.00	$1.00
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	21	19	$346.00	$270.03
69100 Biopsy of ear	17	13	$112.00	$59.85
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	14	$203.00	$159.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$193.00	$152.47
10060 Simple or single drainage of skin abscess	13	12	$140.00	$106.88
11104 Punch biopsy, first skin growth	12	11	$146.00	$110.41
11600 Removal of malignant growth (0.5 centimeters or less) of the trunk, arms, or legs	12	12	$226.00	$94.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	544	385	$104.00	$83.99
17003 Destruction of precancer skin growth, 2-14 growths	410	125	$16.00	$6.04
17000 Destruction of skin growth	252	197	$77.00	$44.42
17110 Destruction of up to 14 skin growths	247	206	$127.00	$98.77
11102 Tangential biopsy of single skin lesion	241	195	$116.00	$80.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	184	$148.00	$119.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	127	111	$65.00	$52.35
11103 Biopsy of related skin growth, each additional growth	75	45	$60.00	$46.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$130.00	$105.13
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	37	31	$139.00	$92.92
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	30	$346.00	$277.41
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	31	27	$125.00	$91.93
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	31	26	$115.00	$61.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	22	$2.00	$1.06
11200 Removal of skin tag, 1-15 skin tags	25	25	$102.00	$54.19
11900 Injection into skin growth, 1-7 growths	25	22	$65.00	$40.19
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	21	16	$122.00	$67.54
11104 Punch biopsy, first skin growth	19	18	$146.00	$115.73
11600 Removal of malignant growth (0.5 centimeters or less) of the trunk, arms, or legs	16	14	$226.00	$91.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$193.00	$157.06
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$83.00	$67.62
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	16	14	$203.00	$145.07
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	12	$140.00	$98.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	11	$23.00	$12.31
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	13	12	$262.00	$106.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	587	417	$104.05	$85.35
17003 Destruction of precancer skin growth, 2-14 growths	363	112	$16.09	$6.25
11102 Tangential biopsy of single skin lesion	270	213	$115.70	$81.24
17110 Destruction of up to 14 skin growths	255	215	$126.59	$102.80
17000 Destruction of skin growth	248	203	$76.81	$45.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	121	$65.35	$52.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	98	$148.08	$119.02
11103 Biopsy of related skin growth, each additional growth	94	62	$60.00	$47.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$129.55	$104.78
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	41	$346.09	$282.30
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	37	20	$2.00	$1.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	30	$202.64	$152.71
11900 Injection into skin growth, 1-7 growths	32	20	$64.75	$42.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	14	$23.00	$11.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	21	$275.14	$115.59
11104 Punch biopsy, first skin growth	22	20	$145.77	$107.66
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$82.70	$67.27
11200 Removal of skin tag, 1-15 skin tags	19	18	$101.26	$55.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$190.85	$159.94
69100 Biopsy of ear	13	13	$112.00	$73.12
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$355.00	$293.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	580	406	$103.96	$86.25
17003 Destruction of precancer skin growth, 2-14 growths	535	163	$18.00	$6.03
11102 Tangential biopsy of single skin lesion	341	275	$111.92	$81.57
17000 Destruction of skin growth	331	261	$73.00	$42.75
17110 Destruction of up to 14 skin growths	305	260	$122.00	$103.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	199	182	$63.44	$53.32
11103 Biopsy of related skin growth, each additional growth	171	96	$60.00	$48.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	109	$147.54	$123.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$119.08	$102.98
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	50	45	$341.96	$291.65
11900 Injection into skin growth, 1-7 growths	46	33	$61.00	$40.85
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	45	31	$2.00	$1.22
99202 New patient office or other outpatient visit, typically 20 minutes	40	40	$77.22	$68.82
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	29	$197.00	$154.55
11200 Removal of skin tag, 1-15 skin tags	27	27	$95.11	$61.39
11104 Punch biopsy, first skin growth	24	22	$141.00	$115.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	20	$260.00	$117.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$179.00	$161.71
69100 Biopsy of ear	18	17	$112.00	$59.85
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	15	15	$330.00	$295.58
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	11	11	$244.00	$109.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	662	182	$18.00	$5.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	487	395	$123.00	$102.97
17110 Destruction of up to 14 skin growths	389	312	$122.00	$101.52
17000 Destruction of skin growth	349	272	$73.00	$44.26
11102 Tangential biopsy of single skin lesion	334	264	$109.00	$77.30
99213 Established patient office or other outpatient visit, typically 15 minutes	238	190	$84.16	$70.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	133	133	$122.00	$101.93
11103 Biopsy of related skin growth, each additional growth	102	69	$59.00	$49.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	88	$50.00	$42.90
11200 Removal of skin tag, 1-15 skin tags	49	48	$98.00	$56.57
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$86.00	$71.65
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	36	$338.00	$286.45
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	38	31	$2.00	$1.45
11900 Injection into skin growth, 1-7 growths	36	30	$61.00	$42.00
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	33	27	$197.00	$152.05
69100 Biopsy of ear	21	20	$112.00	$77.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	19	$277.00	$117.46
11104 Punch biopsy, first skin growth	18	17	$138.00	$117.88
99201 New patient office or other outpatient visit, typically 10 minutes	17	17	$51.00	$43.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	653	191	$18.00	$5.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	554	435	$123.00	$100.58
17110 Destruction of up to 14 skin growths	471	391	$122.00	$97.97
11102 Tangential biopsy of single skin lesion	407	353	$109.00	$74.91
17000 Destruction of skin growth	398	286	$73.00	$42.03
99213 Established patient office or other outpatient visit, typically 15 minutes	330	253	$84.00	$68.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	198	198	$122.00	$98.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	186	154	$50.00	$40.89
11103 Biopsy of related skin growth, each additional growth	148	95	$59.00	$48.45
11200 Removal of skin tag, 1-15 skin tags	75	73	$98.00	$56.18
99202 New patient office or other outpatient visit, typically 20 minutes	74	74	$86.00	$70.53
J1100 Injection, dexamethasone sodium phosphate, 1 mg	56	14	$1.00	$0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	50	45	$2.00	$1.58
11900 Injection into skin growth, 1-7 growths	49	45	$61.00	$37.54
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	39	38	$338.00	$271.67
69100 Biopsy of ear	35	30	$112.00	$61.61
11104 Punch biopsy, first skin growth	34	31	$138.00	$110.26
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	20	19	$277.00	$119.12
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	19	19	$486.00	$395.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	16	$197.00	$147.91
96573 Application of light by qualified health care professional to destroy precancer skin growth	18	18	$221.00	$182.45
10060 Simple or single drainage of skin abscess	16	16	$133.00	$109.44
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	16	$330.00	$253.62
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	15	13	$108.00	$68.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	14	14	$23.00	$15.37
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$286.00	$117.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	845	208	$18.00	$4.57
17110 Destruction of up to 14 skin growths	533	419	$122.00	$98.80
11100 Biopsy of single growth of skin and/or tissue	507	414	$114.00	$78.82
17000 Destruction of skin growth	443	308	$74.00	$40.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	332	$121.00	$99.53
99213 Established patient office or other outpatient visit, typically 15 minutes	374	268	$82.10	$67.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	292	292	$121.00	$98.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	149	125	$48.01	$40.46
11101 Biopsy of each additional growth of skin and/or tissue	149	105	$40.00	$29.22
99202 New patient office or other outpatient visit, typically 20 minutes	117	117	$84.00	$68.65
11200 Removal of skin tag, 1-15 skin tags	74	71	$98.00	$52.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg	56	13	$1.00	$0.11
69100 Biopsy of ear	50	42	$111.00	$65.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	49	41	$2.00	$1.73
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	47	40	$461.04	$377.52
11900 Injection into skin growth, 1-7 growths	44	40	$62.00	$37.34
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	31	$334.17	$276.05
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	24	23	$274.14	$127.91
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	24	20	$106.23	$55.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	16	$28.00	$18.80
96573 Application of light by qualified health care professional to destroy precancer skin growth	21	19	$208.10	$163.90
99201 New patient office or other outpatient visit, typically 10 minutes	17	17	$49.00	$40.91
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	14	$194.15	$145.20
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	14	14	$150.00	$97.56
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	13	$320.43	$246.06
10060 Simple or single drainage of skin abscess	12	12	$131.00	$109.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	792	192	$18.00	$4.89
17110 Destruction of up to 14 skin growths	447	352	$122.00	$96.91
11100 Biopsy of single growth of skin and/or tissue	444	342	$114.00	$76.78
17000 Destruction of skin growth	425	290	$74.00	$40.03
99213 Established patient office or other outpatient visit, typically 15 minutes	327	233	$82.00	$66.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	298	298	$121.00	$97.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	234	181	$121.00	$98.57
11101 Biopsy of each additional growth of skin and/or tissue	194	116	$40.00	$28.99
99202 New patient office or other outpatient visit, typically 20 minutes	161	161	$84.00	$68.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	92	$48.00	$39.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	89	46	$2.00	$1.73
11900 Injection into skin growth, 1-7 growths	73	52	$62.00	$37.98
11200 Removal of skin tag, 1-15 skin tags	65	63	$98.00	$51.78
10040 Acne surgery	38	36	$114.00	$62.00
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	32	30	$150.00	$119.84
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	24	$334.00	$267.34
69100 Biopsy of ear	25	22	$111.00	$57.52
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	24	20	$106.00	$57.40
J3490 Unclassified drugs	22	15	$413.64	$192.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	17	$274.00	$136.96
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	18	17	$194.00	$146.15
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	17	16	$122.00	$61.05
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	17	16	$417.00	$358.37
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	11	$261.00	$152.71
99201 New patient office or other outpatient visit, typically 10 minutes	12	12	$49.00	$37.72

Medical Specialties & State Licenses

CMS Verified: 2026-03-05

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AL 23903

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Shades Valley Dermatology, Llc

813 Shades Creek Pkwy, Birmingham, AL 352094512

Phone: 2055781799

Secondary Practice Locations

1360 Montgomery Hwy Ste 114

Vestavia Hills, AL 352162750

Phone: 2055781799

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Chelsi Davis , PA-C

Physician Assistant - Surgical

NPI 1225692098

Physician Assistant (Certified)

Dr. Stephanie Ives , MD

Dermatology

NPI 1629575055

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location March 05, 2026

Registered at 1600 5TH AVE S, JASPER, AL 355014658 (Tel: 2055781799)

📍

Updated Practice Location February 04, 2026

Registered at 813 SHADES CREEK PKWY STE 205, BIRMINGHAM, AL 352094512 (Tel: 2055781799)

📍

Updated Business Mailing Address February 04, 2026

Registered at 1600 5TH AVE S, JASPER, AL 355014658 (Tel: 2055781799)

✅

NPI Profile Active September 27, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2016

Registered at 813 SHADES CREEK PKWY, SUITE 205, BIRMINGHAM, AL 352094542 (Tel: 2055781799)

📍

Updated Business Mailing Address September 27, 2016

Registered at 813 SHADES CREEK PKWY, SUITE 205, BIRMINGHAM, AL 352094542 (Tel: 2055781799)

👤

Provider Name / Credentials Updated September 27, 2016

Recorded as KATHERINE FLANAGAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2016

Dermatology (License #23903 in AL)

🟢

Initial NPI Registration & Enumeration May 05, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104092675

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 05, 2008

Last Update: March 05, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1600 5th Ave S

Jasper, AL 355014658

Phone: 2055781799

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.