COASTAL SKIN SURGERY AND DERMATOLOGY, PL
NPI 1114238193
Dermatology - MOHS-Micrographic Surgery in Miramar Beach, FL

Active since June 24, 2010CLIA 10D1091593 · Certificate of Compliance
12469 EMERALD COAST PKWY W, SUITE 101, MIRAMAR BEACH, FL 32550(850) 654-3376(850) 654-3320 Get Directions Write a Review

NPPES record last updated: April 21, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Coastal Skin Surgery And Dermatology, Pl NPPES

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

COASTAL SKIN SURGERY AND DERMATOLOGY, PL (NPI 1114238193) is a healthcare organization registered as a mohs-micrographic surgery in Miramar Beach, Florida and active in the NPI registry since June 2010. The organization holds a CLIA Certificate of Compliance certificate valid through December 17, 2026 and lists David C Adams, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1114238193
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameCOASTAL SKIN SURGERY AND DERMATOLOGY, PL
Location Address12469 EMERALD COAST PKWY W, SUITE 101Miramar Beach, FL 32550-8305
Mailing Address12469 Emerald Coast Pkwy W, Suite 101Miramar Beach, FL 32550-8305 · (850) 654-3376 · Fax (850) 654-3320
Fax(850) 654-3320
Organization SubpartNo
Authorized OfficialDavid C AdamsOwner, President · (850) 654-3376
Enumeration DateJune 24, 2010
Last NPPES UpdateApril 21, 2011
✔ NPI 1114238193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in FL · ME92098
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
12469 EMERALD COAST PKWY W, Miramar Beach, FL 32550

Other Identifiers 2

Other00175FL · Bcbsfl
Medicare PINDP316AFL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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)

Coastal Skin Surgery And Dermatology, Pl is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Coastal Skin Surgery And Dermatology, Pl, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology10
Micrographic Dermatologic Surgery (MDS)1
Nurse Practitioner1
Plastic and Reconstructive Surgery1

Clinicians, nearest first (13)

Dermatology
NPI 1528042256
12469 EMERALD COAST PKWY W
Miramar Beach, FL 32550
(850) 654-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1548425812
12469 EMERALD COAST PKWY W SUITE 101
Miramar Beach, FL 32550
(850) 654-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1740472380
4400 HIGHWAY 20 E SUITE 410
Niceville, FL 32578
(850) 897-4900
✔ PECOS✔ Accepts Medicare7.5 mi
Dermatology
NPI 1427033463
4400 E HIGHWAY 20 STE 410
Niceville, FL 32578
(850) 654-3376
✔ PECOS7.6 mi
Dermatology
NPI 1235355801
307 BOATNER RD STE 114
Eglin Afb, FL 32542
(850) 883-8257
✔ PECOS✔ Accepts Medicare12 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1285098772
912 MAR WALT DR
Fort Walton Beach, FL 32547
(850) 314-7546
✔ PECOS✔ Accepts Medicare16 mi
Dermatology
NPI 1740449719
600 GRAND PANAMA BLVD STE 104
Panama City Beach, FL 32407
(850) 238-8511
✔ PECOS✔ Accepts Medicare36 mi
Dermatology
NPI 1386030617
100 STONEFOREST DR STE 320
Woodstock, GA 30189
(770) 516-5199
✔ PECOS✔ Accepts Medicare278 mi
Nurse Practitioner
NPI 1225736390
603 N FLAMINGO RD STE 350
Pembroke Pines, FL 33028
(954) 435-5100
✔ PECOS✔ Accepts Medicare477 mi
Dermatology
NPI 1255523296
110 BUSINESS PARK DR STE C
Branson, MO 65616
(417) 336-0033
✔ PECOS✔ Accepts Medicare587 mi
Dermatology
NPI 1013932698
1945 LAKEPOINT DR
Lewisville, TX 75057
(800) 835-2362
✔ PECOS650 mi
Plastic and Reconstructive Surgery
NPI 1225139868
2350 MIAMI VALLEY DR STE 520
Centerville, OH 45459
(937) 293-3800
✔ PECOS✔ Accepts Medicare652 mi
Dermatology
NPI 1740415777
3024 E EMPIRE ST STE E&F
Bloomington, IL 61704
(309) 451-3376
✔ PECOS✔ Accepts Medicare711 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 10D1091593

Coastal Skin Surgery And Dermatology · Miramar Beach, FL
Active · expires Dec 17, 2026
CLIA Number10D1091593
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2024
Certificate Expiration DateDecember 17, 2026
Laboratory DirectorDavid C. Adams
Laboratory Phone(850) 654-3376
Laboratory LocationCoastal Skin Surgery And Dermatology12469 Emerald Coast Pkwy Ste 101, Miramar Beach, FL 32550
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 Coastal Skin Surgery And Dermatology, Pl's NPI number?

The NPI number for Coastal Skin Surgery And Dermatology, Pl is 1114238193. It was assigned to this organization in the NPPES registry on June 24, 2010.

Where is Coastal Skin Surgery And Dermatology, Pl located?

Coastal Skin Surgery And Dermatology, Pl is located at 12469 Emerald Coast Pkwy W Suite 101, Miramar Beach, FL 32550. The listed phone number is (850) 654-3376.

What is Coastal Skin Surgery And Dermatology, Pl's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Coastal Skin Surgery And Dermatology, Pl enrolled in Medicare?

Yes. Coastal Skin Surgery And Dermatology, Pl is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coastal Skin Surgery And Dermatology, Pl?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 4 Medicare specialties reassign their Medicare billing to Coastal Skin Surgery And Dermatology, Pl. 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. The largest specialties are Dermatology (10), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Coastal Skin Surgery And Dermatology, Pl hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1091593) is associated with this NPI, valid through December 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Coastal Skin Surgery And Dermatology, Pl accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Coastal Skin Surgery And Dermatology, Pl 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 Coastal Skin Surgery And Dermatology, Pl was last updated on April 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.