Decatur Dermatology, PC
Decatur Dermatology, PC is a healthcare organization registered as Dermatology Physician in Decatur, AL, holding Type 2 (organization) NPI 1770782849 since 2007. The authorized official on file is Samantha Wyatt, Physician/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770782849 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Decatur Dermatology, PC |
| Practice address | 620 WALNUT STREET NE, SUITE A, Decatur, AL, 35601 |
| Phone | 2563537775 |
| Fax | 2563537765 |
| Enumeration date | 2007-07-17 |
| Last updated in NPPES | 2025-08-21 |
Authorized official
| Name | Samantha Wyatt |
|---|---|
| Title | Physician/President |
| Phone | 2563537775 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207NS0135X | Procedural Dermatology Physician | Secondary | — | — |
| 207N00000X | Dermatology Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529924440 | Medicaid | AL | — |
Copy-ready billing details
Provider: Decatur Dermatology, PC NPI: 1770782849 Taxonomy: 207N00000X (Dermatology Physician) Address: 620 WALNUT STREET NE, SUITE A, Decatur, AL, 35601
Verify this record
Cross-check NPI 1770782849 against the authoritative CMS record: view Decatur 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
Who is the authorized official for Decatur Dermatology, PC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-21.