SOUTH FLORIDA SKIN CENTER
NPI 1033488424
Dermatology - Procedural Dermatology in Port Charlotte, FL

Q: What is Jay S. Herbst M.D., P.A.'s NPI number?

The NPI number for Jay S. Herbst M.D., P.A. is 1033488424. It was assigned to this organization in the NPPES registry on December 14, 2011. The provider is also known as South Florida Skin Center.

Q: What is Jay S. Herbst M.D., P.A.'s specialty?

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

Active since December 14, 2011CLIA 10D2159863 · Certificate of Compliance

2866 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL 33952(941) 764-1055(941) 764-7984 Get Directions Write a Review

NPPES record last updated: December 14, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About South Florida Skin Center NPPES

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

SOUTH FLORIDA SKIN CENTER (NPI 1033488424) is a healthcare organization registered as a procedural dermatology in Port Charlotte, Florida and active in the NPI registry since December 2011. The organization holds a CLIA Certificate of Compliance certificate valid through June 24, 2027 and lists Jay Steven Herbst, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1033488424

Entity TypeOrganization

Primary Taxonomy207NS0135X

Legal Business NameJAY S. HERBST M.D., P.A.

Location Address2866 TAMIAMI TRL, SUITE APort Charlotte, FL 33952-5126

Mailing Address2866 Tamiami Trl, Suite APort Charlotte, FL 33952-5126 · (941) 764-1055 · Fax (941) 764-7984

Phone(941) 764-1055

Fax(941) 764-7984

Organization SubpartNo

Authorized OfficialJay Steven HerbstMedical Director · (941) 764-1055

Enumeration DateDecember 14, 2011

✔ NPI 1033488424 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 · ME 46734

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).

2866 TAMIAMI TRL, Port Charlotte, FL 33952

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Other Names 1

Other NameSouth Florida Skin Center

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).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Florida Skin Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to South Florida Skin Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Alexander Herbst, MD

Dermatology

NPI 1437680949

2866 TAMIAMI TRL STE A
Port Charlotte, FL 33952

(941) 764-1055

✔ PECOS✔ Accepts MedicareSame address

Jay Herbst, M.D.

Dermatology

NPI 1710047097

2866 TAMIAMI TRL STE A
Port Charlotte, FL 33952

(941) 764-1055

✔ PECOS✔ Accepts MedicareSame address

Tamara Porter, APRN

Nurse Practitioner

NPI 1689142846

1693 NW PINE CREEK AVE
Arcadia, FL 34266

(941) 380-8492

✔ PECOS✔ Accepts Medicare18 mi

Eva Clark, APRN

Nurse Practitioner

NPI 1669096269

1265 CREEKSIDE PKWY STE 200
Naples, FL 34108

(239) 513-1992

✔ PECOS✔ Accepts Medicare53 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 10D2159863

Jay S Herbst MD PA · Port Charlotte, FL

Active · expires Jun 24, 2027

CLIA Number10D2159863

Laboratory TypePhysician Office

Certificate Effective DateJune 25, 2025

Certificate Expiration DateJune 24, 2027

Laboratory DirectorJay S. Herbst

Laboratory Phone(941) 764-1055

Laboratory LocationJay S Herbst MD PA2866 Tamiami Trl Ste A, Port Charlotte, FL 33952

CLIA data matches this NPI record on: Address 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 Jay S. Herbst M.D., P.A.'s NPI number?

The NPI number for Jay S. Herbst M.D., P.A. is 1033488424. It was assigned to this organization in the NPPES registry on December 14, 2011. The provider is also known as South Florida Skin Center.

Where is Jay S. Herbst M.D., P.A. located?

Jay S. Herbst M.D., P.A. is located at 2866 Tamiami Trl Suite A, Port Charlotte, FL 33952. The listed phone number is (941) 764-1055.

What is Jay S. Herbst M.D., P.A.'s specialty?

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

Is Jay S. Herbst M.D., P.A. enrolled in Medicare?

Yes. Jay S. Herbst M.D., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jay S. Herbst M.D., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Jay S. Herbst M.D., P.A., 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Jay S. Herbst M.D., P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2159863) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jay S. Herbst M.D., P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Jay S. Herbst M.D., 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 Jay S. Herbst M.D., P.A. was last updated on December 14, 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.