Decatur Dermatology, PC
NPI 1770782849ActiveOrganization· Dermatology· Decatur, AL
Dermatology in Decatur, Alabama, registered in NPPES in July 2007. The authorized official on file is Samantha Wyatt, MD, Physician/President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770782849 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2007 |
| Last updated in NPPES | Aug 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, Procedural Dermatology | 207NS0135X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
Other Dermatology providers in Decatur
- 1851573778
- 1689700015
- 1336172634
- 1649237363
- 1972588648
- 1922685494
- 1265436067
- 1942247150