CATOMA DERMATOLOGY, LLC – Dermatology Physician, NPI 1386055010

CATOMA DERMATOLOGY, LLC is a healthcare provider. based in Cullman, Alabama. specializing in Dermatology Physician. The organization holds a License No. 27325 (AL). The NPI Number for CATOMA DERMATOLOGY, LLC is 1386055010

Main info

Organization
Name
CATOMA DERMATOLOGY, LLC
NPI
1386055010
Phone
(256) 737-7546
Address
1300 BRIDGE CREEK DR. NE
Authorized Official
CLANCY H JOHNSON PHYSICIAN MD
Enumeration Date
15 May 2014
Last Update Date
3 September 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for CATOMA DERMATOLOGY, LLC

  • 1300 BRIDGE CREEK DR. NE

    CULLMAN, AL 35055

    Phone: (256) 737-7546

    Fax: (256) 841-6180

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20140822000855OClinic/Group PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35055)

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Reviews

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Frequently asked questions

Can I cross-check CATOMA DERMATOLOGY, LLC using NPI 1386055010?
NPI 1386055010 belongs to CATOMA DERMATOLOGY, LLC; compare other details if you need extra assurance.
Is CATOMA DERMATOLOGY, LLC still an active registrant?
CATOMA DERMATOLOGY, LLC carries an active NPI according to the public dataset.
What expertise is attributed to CATOMA DERMATOLOGY, LLC?
CATOMA DERMATOLOGY, LLC's specialty line reads Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CATOMA DERMATOLOGY, LLC?
Directory geography for CATOMA DERMATOLOGY, LLC centers on Cullman, Alabama.
When was this NPI issued?
Enumeration for CATOMA DERMATOLOGY, LLC is noted as May 15, 2014 where the registry provides it.

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