PRECISION DERMATOLOGY AND SKIN SURGERY PA
NPI 1336553619
Dermatology in Jacksonville, FL
About Precision Dermatology And Skin Surgery Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRECISION DERMATOLOGY AND SKIN SURGERY PA (NPI 1336553619) is a healthcare organization registered as a dermatology in Jacksonville, Florida and active in the NPI registry since June 2014. The organization holds 2 active CLIA laboratory certificates and lists Angie Hubbard, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
Precision Dermatology And Skin Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Precision Dermatology And Skin Surgery PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 2
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 10D2081402
Precision Dermatology And Skin Surgery PA · Jacksonville, FLCertificate of Compliance 10D2081407
Precision Dermatology And Skin Surgery PA · Orange Park, FLFrequently 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 Precision Dermatology And Skin Surgery PA's NPI number?
The NPI number for Precision Dermatology And Skin Surgery PA is 1336553619. It was assigned to this organization in the NPPES registry on June 16, 2014.
Where is Precision Dermatology And Skin Surgery PA located?
Precision Dermatology And Skin Surgery PA is located at 1550 Riverside Ave, Jacksonville, FL 32204. The listed phone number is (904) 613-3966.
What is Precision Dermatology And Skin Surgery PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Precision Dermatology And Skin Surgery PA enrolled in Medicare?
Yes. Precision Dermatology And Skin Surgery PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Precision Dermatology And Skin Surgery PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Precision Dermatology And Skin Surgery 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 Precision Dermatology And Skin Surgery PA hold CLIA laboratory certificates?
Yes. 2 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 Precision Dermatology And Skin Surgery PA accept?
Health plans from AvMed list Precision Dermatology And Skin Surgery 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 Precision Dermatology And Skin Surgery PA was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Precision Dermatology And Skin Surgery Pa · NPI 1336553619
Dermatology organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since June 16, 2014.
## Identity
- **NPI:** 1336553619 (Entity type: Organization)
- **Enumerated:** June 16, 2014
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Angie Hubbard, MANAGER
## Practice location
- **Address:** 1550 RIVERSIDE AVE, Jacksonville, FL 32204-4161
- **Phone:** (904) 613-3966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (2), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2021
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1336553619) · Data from the CMS NPPES public registry.