ATLANTIC DERMATOLOGY LLC
NPI 1306957378
Dermatology - Procedural Dermatology in Cocoa Beach, FL
NPI Status: Active since August 31, 2006
Contact Information
1980 N ATLANTIC AVE
SUITE 722
COCOA BEACH, FL
ZIP 32931
Phone: (321) 784-8811
Fax: (321) 799-4424
- Organization
- Dermatology
- Procedural Dermatology
- Accepts Insurance
About ATLANTIC DERMATOLOGY LLC
This page provides the complete NPI Profile along with additional information for Atlantic Dermatology Llc, a provider established in Cocoa Beach, Florida operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1306957378 assigned on August 2006. The practitioner's primary taxonomy code is 207NS0135X. The provider is registered as an organization and their NPI record was last updated one year ago. Atlantic Dermatology Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Kristin Widick Smallwood M.d. (President)
- NPI
- 1306957378
- Provider Name
- ATLANTIC DERMATOLOGY LLC
- Entity Type
- Organization
- Location Address
- 1980 N ATLANTIC AVE SUITE 722 COCOA BEACH, FL 32931
- Location Phone
- (321) 784-8811
- Location Fax
- (321) 799-4424
- Mailing Address
- 1980 N ATLANTIC AVE SUITE 722 COCOA BEACH, FL 32931
- Mailing Phone
- (321) 784-8811
- Mailing Fax
- (321) 799-4424
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2006
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207NI0002X | Allopathic & Osteopathic Physicians | Dermatology | |
| 3 | 207NP0225X | Allopathic & Osteopathic Physicians | Dermatology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-06 (Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1306957378, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
COCOA BEACH, FL 32931
COCOA BEACH, FL 32931
COCOA BEACH, FL 32931
COCOA BEACH, FL 32931
COCOA BEACH, FL 32931
COCOA BEACH, FL 32931
COCOA BEACH, FL 32931
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306957378, enumerated as an "organization" on August 31, 2006.
The provider is located at 1980 N ATLANTIC AVE SUITE 722 COCOA BEACH, FL 32931 and the phone number is (321) 784-8811.
Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.
The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL). Please consult your insurance carrier or call the provider to verify.
