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

Samuel Stahly

Individual provider Dermatology Physician · NPI 1922685494

Samuel Stahly is a Dermatology in Decatur, Alabama. Qualified in 2021, 5 years ago. Practices with Aqua Dermatology of Alabama PC, a 42-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
5
Licensed in
AL
In the registry since
2021

Practice location Address checks out

802 Bank St NE
Decatur, AL 35601-1612
Phone: (205) 977-9876
Fax: (256) 351-1876
Show map & directions

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

Additional practice locations (1)

  • 7300 Halcyon Summit Dr, Montgomery, AL 36117-3699 — (205) 977-9876

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence DO.4205 (AL)

Record details

NPI number1922685494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2021
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address802 Bank St Ne, Decatur, AL 35601-1612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aqua Dermatology Of Alabama Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Decatur