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SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.
NPI 1003582123
Dermatology in Palm Coast, FL

Active since August 18, 2021CLIA Certified · 2 labs
84 PINNACLES DR STE 400, PALM COAST, FL 32164(386) 256-1969(407) 599-7506 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Skin Dermatology And Cosmetic Services, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SKIN DERMATOLOGY AND COSMETIC SERVICES, P.A. (NPI 1003582123) is a healthcare organization registered as a dermatology in Palm Coast, Florida and active in the NPI registry since August 2021. The organization holds 2 active CLIA laboratory certificates and lists Shawna Frame, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1003582123
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN DERMATOLOGY AND COSMETIC SERVICES, P.A.
Location Address84 PINNACLES DR STE 400Palm Coast, FL 32164-2324
Mailing Address865 Saxon BlvdOrange City, FL 32763-8204 · (386) 256-1969 · Fax (407) 599-7506
Phone(386) 256-1969
Fax(407) 599-7506
Organization SubpartNo
Authorized OfficialShawna FrameBilling Manager · (423) 525-5993
Enumeration DateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1003582123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
84 PINNACLES DR STE 400, Palm Coast, FL 32164
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Other Identifiers 1

Medicaid009563608FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2097275

Skin Dermatology And Cosmetic Services PA · Orange City, FL
Active · expires Jul 22, 2027
CLIA Number10D2097275
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorRoss C. Wheeler
Laboratory Phone(386) 256-1969
Laboratory LocationSkin Dermatology And Cosmetic Services PA865 Saxon Blvd, Orange City, FL 32763
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 10D2150227

Skin Dermatology And Cosmetic Services PA · Palm Coast, FL
Active · expires Dec 6, 2026
CLIA Number10D2150227
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorRoss C. Wheeler
Laboratory Phone(386) 256-1969
Laboratory LocationSkin Dermatology And Cosmetic Services PA84 Pinnacles Dr Bld B Ste 400, Palm Coast, FL 32164
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY CHRISTINE FEDERICO NP
Nurse Practitioner (Family)
84 PINNACLES DR STE 400
PALM COAST, FL 32164
Flagler County (386) 256-1969

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Skin Dermatology And Cosmetic Services, P.A.'s NPI number?

The NPI number for Skin Dermatology And Cosmetic Services, P.A. is 1003582123. It was assigned to this organization in the NPPES registry on August 18, 2021.

Where is Skin Dermatology And Cosmetic Services, P.A. located?

Skin Dermatology And Cosmetic Services, P.A. is located at 84 Pinnacles Dr Ste 400, Palm Coast, FL 32164. The listed phone number is (386) 256-1969.

What is Skin Dermatology And Cosmetic Services, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Skin Dermatology And Cosmetic Services, P.A. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Skin Dermatology And Cosmetic Services, P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Skin Dermatology And Cosmetic Services, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Skin Dermatology And Cosmetic Services, P.A. was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.