Affiliated Dermatology, PC
Affiliated Dermatology, PC is a healthcare organization registered as Procedural Dermatology Physician in Dothan, AL, holding Type 2 (organization) NPI 1124008636 since 2006. The authorized official on file is Lois Sallas, Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124008636 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Affiliated Dermatology, PC |
| Practice address | 4300 W MAIN ST, SUITE 102, Dothan, AL, 36305 |
| Phone | 3347939564 |
| Fax | 3346718907 |
| Enumeration date | 2006-01-19 |
| Last updated in NPPES | 2025-09-11 |
Authorized official
| Name | Lois Sallas |
|---|---|
| Title | Administrator |
| Phone | 3347939564 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Secondary | — | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | Secondary | — | — |
| 207NS0135X | Procedural Dermatology Physician | Primary | — | — |
Copy-ready billing details
Provider: Affiliated Dermatology, PC NPI: 1124008636 Taxonomy: 207NS0135X (Procedural Dermatology Physician) Address: 4300 W MAIN ST, SUITE 102, Dothan, AL, 36305
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396740577 | Steven Fendley | Individual | Surgery Physician | Dothan, AL |
| 1639174154 | Ralph Pfeiffer | Individual | Vascular Surgery Physician | Dothan, AL |
| 1578562484 | Sylvia Rushing | Individual | Cardiovascular Disease Physician | Dothan, AL |
| 1083608871 | Robert Harrell | Individual | Cardiovascular Disease Physician | Dothan, AL |
| 1730173535 | Christopher Byard | Individual | Cardiovascular Disease Physician | Dothan, AL |
| 1659365104 | James Craven | Individual | Cardiovascular Disease Physician | Dothan, AL |
| 1760476212 | Michael Pinson | Individual | Cardiovascular Disease Physician | Dothan, AL |
| 1588658033 | Simon Brooks | Individual | Cardiovascular Disease Physician | Dothan, AL |
Verify this record
Cross-check NPI 1124008636 against the authoritative CMS record: view Affiliated Dermatology, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Affiliated Dermatology, PC?
Who is the authorized official for Affiliated Dermatology, PC?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2025-09-11.