SOUTHERN INSTITUTE OF AESTHETICS, PC – NPI #1386044543
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Health Care Provider Taxonomy Code for Dermatology

SOUTHERN INSTITUTE OF AESTHETICS, PC is a dermatologist located in DOTHAN, AL. NPPES has assigned the NPI number 1386044543 to SOUTHERN INSTITUTE OF AESTHETICS, PC on August 25, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was last updated on Oct 08, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN INSTITUTE OF AESTHETICS, PC below.

NPI Profile for
SOUTHERN INSTITUTE OF AESTHETICS, PC

NPI Number
1386044543
Enumeration Date

(about 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN INSTITUTE OF AESTHETICS, PC
Primary location
1733 W MAIN ST
SUITE 500
DOTHAN, AL 36301
Phone: (334) 699-7546 Fax: (334) 699-7548
Mailing address
101 CREEKSIDE CROSSING STE 1700
PMB 161
BRENTWOOD, TN 37027-5054
Phone: (334) 699-7546 Fax:
Organization Subpart
No
Authorized Official
ANGELA BOOKOUT
PRESIDENT/DERMATOLOGIST
Phone: (334) 699-7546
Updated
Certification Date
Oct 08, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.