Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Renew Family Dermatology LLC

Organization Dermatology Physician · NPI 1275198913

Renew Family Dermatology LLC is a Dermatology Physician in Fort Payne, Alabama. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

212 Airport Rd W
Fort Payne, AL 35968
Phone: (256) 979-1250
Fax: (256) 979-1251
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1275198913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pam Mason — Manager · (256) 867-0851
Other names Renew Family Dermatology
NPI enumeratedMay 8, 2019
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address212 Airport Rd W, Fort Payne, AL 35968-3335

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