VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC
NPI 1013098755
Dermatology - Procedural Dermatology in The Villages, FL

Q: What is Village Dermatology & Cosmetic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Active since October 18, 2006CLIA 10D1041914 · Certificate of Compliance

1950 LAUREL MANOR DR, BUILDING 220, SUITE 224, THE VILLAGES, FL 32162(352) 751-6565(352) 205-7777 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 11, 2019, Jun 28, 2018 (2 updates tracked since 2018).

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About Village Dermatology & Cosmetic Surgery, Llc NPPES

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

VILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC (NPI 1013098755) is a healthcare organization registered as a procedural dermatology in The Villages, Florida and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 4, 2027 and lists Thi Thien Tran, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1013098755

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameVILLAGE DERMATOLOGY & COSMETIC SURGERY, LLC

Location Address1950 LAUREL MANOR DR, BUILDING 220, SUITE 224The Villages, FL 32162

Mailing Address1950 Laurel Manor Dr, Building 220, Suite 224The Villages, FL 32162-5603 · (352) 751-6565 · Fax (352) 205-7777

Phone(352) 751-6565

Fax(352) 205-7777

Organization SubpartNo

Authorized OfficialThi Thien TranOwner/physician · (352) 751-6565

Enumeration DateOctober 18, 2006

Last NPPES UpdateOctober 11, 20192 updates tracked since enumeration

✔ NPI 1013098755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in FL · OS8364

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

1950 LAUREL MANOR DR, The Villages, FL 32162

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Village Dermatology & Cosmetic Surgery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Village Dermatology & Cosmetic Surgery, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Thi Tran, DO

Dermatology

NPI 1437117116

1950 LAUREL MANOR DR BLDG 220 STE 224
The Villages, FL 32162

(352) 751-6565

✔ PECOS✔ Accepts Medicare0.1 mi

Rani Marie Powierza, NP-BC

Nurse Practitioner

NPI 1992231021

1050 OLD CAMP RD STE 100
The Villages, FL 32162

(352) 674-1760

✔ PECOS✔ Accepts Medicare1.8 mi

Vickie Hodges, MSN, APRN, FNP-C

Nurse Practitioner

NPI 1275151227

910 OLD CAMP RD STE 112
The Villages, FL 32162

(352) 240-1471

✔ PECOS✔ Accepts Medicare2.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

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 10D1041914

Village Dermatology & Cosmetic Surgery LLC · The Villages, FL

Active · expires Aug 4, 2027

CLIA Number10D1041914

Laboratory TypePhysician Office

Certificate Effective DateAugust 5, 2025

Certificate Expiration DateAugust 4, 2027

Laboratory DirectorThi T. Tran

Laboratory Phone(352) 751-6565

Laboratory LocationVillage Dermatology & Cosmetic Surgery LLC1950 Laurel Manor Dr Ste 224, The Villages, FL 32162

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.

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 Village Dermatology & Cosmetic Surgery, LLC's NPI number?

The NPI number for Village Dermatology & Cosmetic Surgery, LLC is 1013098755. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Village Dermatology & Cosmetic Surgery, LLC located?

Village Dermatology & Cosmetic Surgery, LLC is located at 1950 Laurel Manor Dr Building 220, Suite 224, The Villages, FL 32162. The listed phone number is (352) 751-6565.

What is Village Dermatology & Cosmetic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Village Dermatology & Cosmetic Surgery, LLC enrolled in Medicare?

Yes. Village Dermatology & Cosmetic Surgery, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Village Dermatology & Cosmetic Surgery, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Village Dermatology & Cosmetic Surgery, LLC, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Village Dermatology & Cosmetic Surgery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1041914) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Village Dermatology & Cosmetic Surgery, LLC was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.