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AESTHETIC DERMATOLOGY PA
NPI 1225101231
Dermatology in Clermont, FL

Active since November 16, 2006CLIA 10D0956979 · Certificate of Compliance
210 N HIGHWAY 27 STE 1, CLERMONT, FL 34711(352) 243-2544(352) 243-2745 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 26, 2024, Sep 30, 2022, Apr 25, 2022 (3 updates tracked since 2022).

About Aesthetic Dermatology Pa NPPES

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

AESTHETIC DERMATOLOGY PA (NPI 1225101231) is a healthcare organization registered as a dermatology in Clermont, Florida and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 29, 2027, maintains 2 additional practice locations, and lists David L Allyn, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1225101231
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAESTHETIC DERMATOLOGY PA
Location Address210 N HIGHWAY 27 STE 1Clermont, FL 34711-2411
Mailing Address210 North Highway 27, Suite 1Clermont, FL 34711 · (352) 243-2544 · Fax (352) 243-2745
Phone(352) 243-2544
Fax(352) 243-2745
Organization SubpartNo
Authorized OfficialDavid L AllynMedical Director · (352) 243-2544
Enumeration DateNovember 16, 2006
Last NPPES UpdateJanuary 14, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1225101231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME70658
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
210 N HIGHWAY 27 STE 1, Clermont, FL 34711
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Secondary Practice Locations 2

Location 113953 NE 86th Ter Ste 100Lady Lake, FL 32159-6832 · Phone (352) 243-2544 · Fax (352) 243-2745
Location 22701 Rew CirOcoee, FL 34761-2991 · Phone (321) 732-5807 · Fax (321) 219-8375

Other Identifiers 3

Medicaid116894500FL
Medicaid011965403FL
Medicaid011965400FL

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
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 Ambetter Health, Ambetter of Alabama, AvMed.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)

Aesthetic Dermatology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Aesthetic Dermatology PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

David Allyn, MD
Dermatology
NPI 1770587735
210 N HIGHWAY 27 STE 1
Clermont, FL 34711
(352) 243-2544
✔ PECOS✔ Accepts MedicareSame address
Melinda Short-Russell, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1871789917
210 N HIGHWAY 27 STE 1
Clermont, FL 34711
(352) 243-2544
✔ PECOSSame 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 10D0956979

Aesthetic Dermatology PA · Clermont, FL
Active · expires Mar 29, 2027
CLIA Number10D0956979
Laboratory TypePhysician Office
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorDavid L. Allyn
Laboratory Phone(352) 243-2544
Laboratory LocationAesthetic Dermatology PA210 N Us Hwy 27 Ste 1, Clermont, FL 34711
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 Aesthetic Dermatology PA's NPI number?

The NPI number for Aesthetic Dermatology PA is 1225101231. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Aesthetic Dermatology PA located?

Aesthetic Dermatology PA is located at 210 N Highway 27 Ste 1, Clermont, FL 34711. The listed phone number is (352) 243-2544.

What is Aesthetic Dermatology PA's specialty?

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

Is Aesthetic Dermatology PA enrolled in Medicare?

Yes. Aesthetic Dermatology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aesthetic Dermatology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Aesthetic Dermatology PA, 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 Aesthetic Dermatology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0956979) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aesthetic Dermatology PA accept?

Health plans from Ambetter Health, Ambetter of Alabama and AvMed list Aesthetic Dermatology PA 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 Aesthetic Dermatology PA was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.