ADVANCED DERMATOLOGY CARE SC
NPI 1023386430
Dermatology in Orlando, FL

Active since December 13, 2011
4800 S APOPKA VINELAND RD, ORLANDO, FL 32819(407) 876-5555 Get Directions Write a Review

NPPES record last updated: December 13, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Dermatology Care Sc NPPES

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

ADVANCED DERMATOLOGY CARE SC (NPI 1023386430) is a healthcare organization registered as a dermatology in Orlando, Florida and active in the NPI registry since December 2011. The organization lists Sima Jain, President, as its authorized official.

NPPES Registry Identity

NPI1023386430
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY CARE SC
Location Address4800 S APOPKA VINELAND RDOrlando, FL 32819-3127
Mailing Address4800 S Apopka Vineland RdOrlando, FL 32819-3127 · (407) 876-5555
Organization SubpartNo
Authorized OfficialSima JainPresident · (312) 485-9191
Enumeration DateDecember 13, 2011
✔ NPI 1023386430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME102573
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.
4800 S APOPKA VINELAND RD, Orlando, FL 32819

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)

Advanced Dermatology Care Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Dermatology Care Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1881883494
4800 S APOPKA VINELAND RD
Orlando, FL 32819
(407) 876-5555
✔ PECOSSame address

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

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 Advanced Dermatology Care Sc's NPI number?

The NPI number for Advanced Dermatology Care Sc is 1023386430. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Advanced Dermatology Care Sc located?

Advanced Dermatology Care Sc is located at 4800 S Apopka Vineland Rd, Orlando, FL 32819. The listed phone number is (407) 876-5555.

What is Advanced Dermatology Care Sc's specialty?

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

Is Advanced Dermatology Care Sc enrolled in Medicare?

Yes. Advanced Dermatology Care Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology Care Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Advanced Dermatology Care Sc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Dermatology Care Sc was last updated on December 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.