CMSMG
NPI 1306971833
Dermatology - Procedural Dermatology in Lake City, FL

Active since February 23, 2007
480 SW MAIN BLVD, LAKE CITY, FL 32025(386) 758-1965(386) 758-6923 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cmsmg NPPES

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

CMSMG (NPI 1306971833) is a healthcare organization registered as a procedural dermatology in Lake City, Florida and active in the NPI registry since February 2007. The organization lists J. Anthony Trott, President, as its authorized official.

NPPES Registry Identity

NPI1306971833
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameCOAST MULTI-SPECIALTY MEDICAL GROUP P.A
Location Address480 SW MAIN BLVDLake City, FL 32025-5269
Mailing AddressPo Box 1762Lake City, FL 32056-1762 · (386) 758-1965 · Fax (386) 758-6923
Fax(386) 758-6923
Organization SubpartNo
Authorized OfficialJ. Anthony TrottPresident · (386) 758-1965
Enumeration DateFebruary 23, 2007
Last NPPES UpdateDecember 23, 2014
✔ NPI 1306971833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in FL · ME80264
Definition
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).
480 SW MAIN BLVD, Lake City, FL 32025

Other Names 1

Doing Business AsCmsmg

Other Identifiers 2

OtherK2456FL · Medicare Group Ptan
Medicare PIN51900ZFL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cmsmg 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 Cmsmg, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1346375896
480 SW MAIN BLVD
Lake City, FL 32025
(386) 758-1965
✔ 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.

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 Coast Multi-Specialty Medical Group P.A's NPI number?

The NPI number for Coast Multi-Specialty Medical Group P.A is 1306971833. It was assigned to this organization in the NPPES registry on February 23, 2007. The provider is doing business as Cmsmg.

Where is Coast Multi-Specialty Medical Group P.A located?

Coast Multi-Specialty Medical Group P.A is located at 480 SW Main Blvd, Lake City, FL 32025. The listed phone number is (386) 758-1965.

What is Coast Multi-Specialty Medical Group P.A's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Coast Multi-Specialty Medical Group P.A enrolled in Medicare?

Yes. Coast Multi-Specialty Medical Group P.A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Coast Multi-Specialty Medical Group P.A?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Coast Multi-Specialty Medical Group P.A. 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.

What insurance does Coast Multi-Specialty Medical Group P.A accept?

Health plans from Ambetter Health and Ambetter of Alabama list Coast Multi-Specialty Medical Group P.A 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 Coast Multi-Specialty Medical Group P.A was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.