Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southern Dermatology Center, PC

Dermatology Physician in Decatur, AL · enumerated 2006 · authorized official Angelo Mancuso, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336172634

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Registry record

Entity type Organization (Type 2)

Legal business name Southern Dermatology Center, PC

Practice address 2828 Highway 31 S, Suite 105, Decatur, AL, 35603

Phone (256) 351-9077

Fax (256) 351-0294

Enumeration date Jul 9, 2006

Last updated in NPPES Apr 7, 2009

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License D0196 (AL) Primary

Authorized official

Name Angelo Mancuso

Title Owner

Phone (256) 351-9077

Other identifiers

Identifier	Type	State	Issuer
051080875	Other	AL	BLUE CROSS ID#

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 → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Southern Dermatology Center, PC?

Southern Dermatology Center, PC is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-04-07.