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DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA
NPI 1295842672
Dermatology in Tallahassee, FL

Active since August 23, 2006CLIA Certified · 4 labs
1707 RIGGINS RD, TALLAHASSEE, FL 32308(850) 877-4134(850) 402-9130 Get Directions Write a Review

NPPES record last updated: January 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology Associates Of Tallahassee Pa NPPES

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

DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA (NPI 1295842672) is a healthcare organization registered as a dermatology in Tallahassee, Florida and active in the NPI registry since August 2006. The organization holds 4 active CLIA laboratory certificates and lists Brian Schaper, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1295842672
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY ASSOCIATES OF TALLAHASSEE PA
Location Address1707 RIGGINS RDTallahassee, FL 32308-5317
Mailing AddressPo Box 13859Tallahassee, FL 32317-3859 · (850) 877-4134 · Fax (850) 402-9130
Phone(850) 877-4134
Fax(850) 402-9130
Organization SubpartNo
Authorized OfficialBrian SchaperPractice Administrator · (850) 877-4134
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 15, 2018
✔ NPI 1295842672 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.
1707 RIGGINS RD, Tallahassee, FL 32308
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Other Identifiers 1

Other00415FL · Blue Cross Blue Sheild

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)

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

Clinicians Billing Medicare Through This Organization

35

Medicare enrollment records show 35 clinicians reassign Medicare billing to Dermatology Associates Of Tallahassee PA, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Dermatology28
Nurse Practitioner4
Pathology3

Nearest to this location (20)

See all 35
Lauren Bardhi, ARNP, M.S.N.
Nurse Practitioner
NPI 1134384324
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
Jessica Houpe, MD
Dermatology
NPI 1699407049
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
Okanta Jackson, M.D.
Dermatology
NPI 1578670055
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
Austinn Miller
Dermatology
NPI 1144885229
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
Bhavik Soni, M.D.
Dermatology
NPI 1790892339
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
Armand Cognetta, M.D.
Dermatology
NPI 1003922592
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
William Green
Dermatology
NPI 1023213634
1707 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
Jaclyn Anderson, MD
Pathology
NPI 1437730207
1708 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOSSame address
Andras Schaffer, MD
Pathology
NPI 1578626677
1708 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
David Dolson, M.D.
Pathology
NPI 1164492898
1708 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
Stephen Richardson, MD
Dermatology
NPI 1710918404
1714 MAHAN CENTER BLVD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
Marc Inglese, M.D.
Dermatology
NPI 1467698159
1704 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts MedicareSame address
Imara-Safi Scott, MD
Dermatology
NPI 1053801001
1632 RIGGINS RD
Tallahassee, FL 32308
(850) 877-4134
✔ PECOS✔ Accepts Medicare0.1 mi
Kaisa Vanderkooi, M.D.
Dermatology
NPI 1427269885
1474 MARKET ST
Tallahassee, FL 32312
(850) 233-3376
✔ PECOS✔ Accepts Medicare3.3 mi
Robert Lott, M.D.
Dermatology
NPI 1952530222
2401 OSLER CT
Albany, GA 31707
(229) 518-2700
✔ PECOS✔ Accepts Medicare79 mi
Christopher Wolfe, DO
Dermatology
NPI 1417073503
1900 HARRISON AVE
Panama City, FL 32405
(850) 769-7546
✔ PECOS✔ Accepts Medicare87 mi
Alexander Davis, MD
Dermatology
NPI 1285160879
425 W 19TH ST STE D&E
Panama City, FL 32405
(850) 818-0220
✔ PECOS✔ Accepts Medicare87 mi
Arianne Chavez, MD
Dermatology
NPI 1972762565
616 STATE ROAD 13
St. Johns, FL 32259
(850) 877-4134
✔ PECOS✔ Accepts Medicare158 mi
Swetha Pathak, M.D.
Dermatology
NPI 1598104176
616 STATE ROAD 13 STE 8
St Johns, FL 32259
(904) 512-1899
✔ PECOS✔ Accepts Medicare158 mi
Mary Davidson, FNP-C
Nurse Practitioner
NPI 1881424380
4727 SUNBEAM RD STE 101
Jacksonville, FL 32257
(904) 512-1899
✔ PECOS159 mi
See all 35 clinicians

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 4

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 10D0270011

Dermatology Associates Of Tallahassee PA · Tallahassee, FL
Active · expires Aug 23, 2028
CLIA Number10D0270011
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2026
Certificate Expiration DateAugust 23, 2028
Laboratory DirectorArmand B. Cognetta Jr
Laboratory Phone(850) 877-4134
Laboratory LocationDermatology Associates Of Tallahassee PA1707 Riggins Rd, Tallahassee, FL 32308
CLIA data matches this NPI record on: Address 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.

Certificate of Compliance 10D2142459

Dermatology Associates Of Tallahassee · Marianna, FL
Active · expires Mar 5, 2028
CLIA Number10D2142459
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorWilliam H. Green
Laboratory Phone(850) 877-4134
Laboratory LocationDermatology Associates Of Tallahassee3009 4th Street, Marianna, FL 32446
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.

Certificate of Compliance 10D2000005

Dermatology Associates Of Tallahassee PA · Tallahassee, FL
Active · expires Jan 21, 2028
CLIA Number10D2000005
Laboratory TypePhysician Office
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorDr. Okanta B. Jackson
Laboratory Phone(850) 877-4134
Laboratory LocationDermatology Associates Of Tallahassee PA1632 Riggins Rd, 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.

Certificate of Accreditation 10D2002292

Dermatology Associates Of Tallahassee PA · Tallahassee, FL
Active · expires Mar 5, 2027
CLIA Number10D2002292
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2025
Certificate Expiration DateMarch 5, 2027
Laboratory DirectorDr. David J. Dolson
Laboratory Phone(850) 877-4134
Laboratory LocationDermatology Associates Of Tallahassee PA1708 Riggins Rd, Tallahassee, FL 32308
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Dermatology Associates Of Tallahassee PA's NPI number?

The NPI number for Dermatology Associates Of Tallahassee PA is 1295842672. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Dermatology Associates Of Tallahassee PA located?

Dermatology Associates Of Tallahassee PA is located at 1707 Riggins Rd, Tallahassee, FL 32308. The listed phone number is (850) 877-4134.

What is Dermatology Associates Of Tallahassee PA's specialty?

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

Is Dermatology Associates Of Tallahassee PA enrolled in Medicare?

Yes. Dermatology Associates Of Tallahassee PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Associates Of Tallahassee PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 35 clinicians in 3 Medicare specialties reassign their Medicare billing to Dermatology Associates Of Tallahassee PA. 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 (28), Nurse Practitioner (4) and Pathology (3). Of these, 11 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology Associates Of Tallahassee PA hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dermatology Associates Of Tallahassee PA accept?

Health plans from Capital Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dermatology Associates Of Tallahassee 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 Dermatology Associates Of Tallahassee PA was last updated on January 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.