NPI Lens

Dermaccel

NPI 1992582241ActiveOrganization· Clinic/Center· Trussville, AL

Clinic/Center in Trussville, Alabama, registered in NPPES in September 2023. The authorized official on file is Jonathan Wade, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI1992582241
StatusActive
Entity typeOrganization
NPI issuedSep 11, 2023
Last updated in NPPESAug 13, 2025
Certified by providerAug 13, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X——
Respiratory Therapist, Certified, Critical Care2278C0205X——
Respiratory Therapist, Certified, Pulmonary Rehabilitation2278P1005X——
Respiratory Therapist, Certified, Neonatal/Pediatrics2278P3900X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AL); Part B Supplier - Clinic/Group Practice (AR); Part B Supplier - Clinic/Group Practice (MS); Part B Supplier - Clinic/Group Practice (OH)

Medicare sources and data years

Other Clinic/Center providers in Trussville

All Clinic/Center providers in Alabama