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ALACHUA COUNTY DERMATOLOGY INC
NPI 1194475046
Dermatology in Alachua, FL

Active since March 24, 2022CLIA 10D2270045 · Microscopy
16181 NW US HIGHWAY 441 UNIT 170, ALACHUA, FL 32615(386) 588-3138 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alachua County Dermatology Inc NPPES

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

ALACHUA COUNTY DERMATOLOGY INC (NPI 1194475046) is a healthcare organization registered as a dermatology in Alachua, Florida and active in the NPI registry since March 2022. The organization holds a CLIA Microscopy certificate valid through October 6, 2028 and lists Cora Hannon, President, as its authorized official.

NPPES Registry Identity

NPI1194475046
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALACHUA COUNTY DERMATOLOGY INC
Location Address16181 NW US HIGHWAY 441 UNIT 170Alachua, FL 32615-6579
Mailing Address16181 Nw Us Highway 441 Unit 170Alachua, FL 32615-6579
Phone(386) 588-3138
Organization SubpartNo
Authorized OfficialCora HannonPresident · (386) 588-3138
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1194475046 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.
16181 NW US HIGHWAY 441 UNIT 170, Alachua, FL 32615
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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)

Alachua County Dermatology Inc 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 Alachua County Dermatology Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cora Hannon, M.D.
Dermatology
NPI 1164404018
16181 NW US HIGHWAY 441 UNIT 170
Alachua, FL 32615
(386) 588-3138
✔ 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 for Provider-Performed Microscopy Procedures (PPMP) 10D2270045

Alachua County Dermatology Inc · Alachua, FL
Active · expires Oct 6, 2028
CLIA Number10D2270045
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2026
Certificate Expiration DateOctober 6, 2028
Laboratory DirectorCora Hannon
Laboratory Phone(386) 588-3138
Laboratory LocationAlachua County Dermatology Inc16181 NW Us Highway 441 Unit 170, Alachua, FL 32615
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Alachua County Dermatology Inc's NPI number?

The NPI number for Alachua County Dermatology Inc is 1194475046. It was assigned to this organization in the NPPES registry on March 24, 2022.

Where is Alachua County Dermatology Inc located?

Alachua County Dermatology Inc is located at 16181 NW Us Highway 441 Unit 170, Alachua, FL 32615. The listed phone number is (386) 588-3138.

What is Alachua County Dermatology Inc's specialty?

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

Is Alachua County Dermatology Inc enrolled in Medicare?

Yes. Alachua County Dermatology Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alachua County Dermatology Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Alachua County Dermatology Inc. 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.

Does Alachua County Dermatology Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2270045) is associated with this NPI, valid through October 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alachua County Dermatology Inc was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.