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FAMILY DERMATOLOGY OF NORTH FLORIDA LLC
NPI 1033752969
Dermatology in Tallahassee, FL

Active since October 23, 2019CLIA 10D0996191 · Certificate of Compliance
1981 CAPITAL CIR NE, TALLAHASSEE, FL 32308(850) 402-9444(850) 402-0188 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2020, Oct 23, 2019 (2 updates tracked since 2019).

About Family Dermatology Of North Florida Llc NPPES

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

FAMILY DERMATOLOGY OF NORTH FLORIDA LLC (NPI 1033752969) is a healthcare organization registered as a dermatology in Tallahassee, Florida and active in the NPI registry since October 2019. The organization holds a CLIA Certificate of Compliance certificate valid through March 31, 2028 and lists Oen-hiang Cynthia Tie, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1033752969
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFAMILY DERMATOLOGY OF NORTH FLORIDA LLC
Location Address1981 CAPITAL CIR NETallahassee, FL 32308-4421
Mailing Address1981 Capital Cir NeTallahassee, FL 32308-4421 · (850) 402-9444 · Fax (850) 402-0188
Phone(850) 402-9444
Fax(850) 402-0188
Organization SubpartNo
Authorized OfficialOen-hiang Cynthia TieAuthorized Official · (850) 402-9444
Enumeration DateOctober 23, 2019
Last NPPES UpdateMarch 26, 20242 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1033752969 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.
1981 CAPITAL CIR NE, Tallahassee, FL 32308
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Other Identifiers 2

Medicaid257072600FL
Other46953FL · Bcbs

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 Capital Health Plan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Family Dermatology Of North Florida Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Family Dermatology Of North Florida LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Clara Barranco, MD
Dermatology
NPI 1780204057
1981 CAPITAL CIR NE
Tallahassee, FL 32308
(504) 029-4448
✔ PECOS✔ Accepts MedicareSame address
David Pascoe, M.D.
Dermatology
NPI 1003038555
1981 CAPITAL CIR NE
Tallahassee, FL 32308
(850) 402-9444
✔ PECOS✔ Accepts MedicareSame address
Oen-Hiang Tie, M.D.
Dermatology
NPI 1356346894
1981 CAPITAL CIR NE
Tallahassee, FL 32308
(850) 402-9444
✔ PECOS✔ Accepts MedicareSame address

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 10D0996191

Family Dermatology Of North Florida · Tallahassee, FL
Active · expires Mar 31, 2028
CLIA Number10D0996191
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorClara E. Barranco
Laboratory Phone(850) 402-9444
Laboratory LocationFamily Dermatology Of North Florida1981 Capital Circle NE, Tallahassee, FL 32308
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.

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 Family Dermatology Of North Florida LLC's NPI number?

The NPI number for Family Dermatology Of North Florida LLC is 1033752969. It was assigned to this organization in the NPPES registry on October 23, 2019.

Where is Family Dermatology Of North Florida LLC located?

Family Dermatology Of North Florida LLC is located at 1981 Capital Cir NE, Tallahassee, FL 32308. The listed phone number is (850) 402-9444.

What is Family Dermatology Of North Florida LLC's specialty?

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

Is Family Dermatology Of North Florida LLC enrolled in Medicare?

Yes. Family Dermatology Of North Florida LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Dermatology Of North Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Dermatology, reassign their Medicare billing to Family Dermatology Of North Florida LLC. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Dermatology Of North Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0996191) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Family Dermatology Of North Florida LLC accept?

Health plans from Capital Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Family Dermatology Of North Florida LLC 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 Family Dermatology Of North Florida LLC was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.