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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: August 02, 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
Phone(850) 654-3376
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KAROLINE CASEY DEMPSEY PAC
Physician Assistant
12469 EMERALD COAST PKWY W
MIRAMAR BEACH, FL 32550
Walton County (850) 654-3376
DR. DAVID C ADAMS MD
Dermatology
12469 EMERALD COAST PKWY W
MIRAMAR BEACH, FL 32550
Walton County (850) 654-3376
NICHOLAS GEORGE PAPAJOHN M.D.
Dermatology
12469 EMERALD COAST PKWY W, SUITE 101
MIRAMAR BEACH, FL 32550
Walton County (850) 654-3376
MRS. KATHERINE MARIE EBERLY PA-C
Physician Assistant
12469 EMERALD COAST PKWY W, SUITE 101
MIRAMAR BEACH, FL 32550
Walton County (850) 654-3376
DARLA BRITTANY HOBBS P.A.
Physician Assistant
12469 EMERALD COAST PKWY W, SUITE 101
MIRAMAR BEACH, FL 32550
Walton County (850) 654-3376

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.

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.