ADMIRAL DERMATOLOGY LLC
NPI 1336892850
Dermatology - MOHS-Micrographic Surgery in Springfield, MO

Q: What is Admiral Dermatology LLC's NPI number?

The NPI number for Admiral Dermatology LLC is 1336892850. It was assigned to this organization in the NPPES registry on February 3, 2022.

Q: What is Admiral Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since February 03, 2022

3808 S. GREYSTONE CT., SPRINGFIELD, MO 65804(417) 889-3332(417) 881-1410 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Admiral Dermatology Llc NPPES

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

ADMIRAL DERMATOLOGY LLC (NPI 1336892850) is a healthcare organization registered as a mohs-micrographic surgery in Springfield, Missouri and active in the NPI registry since February 2022. The organization lists Michelle Hawkins, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1336892850

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameADMIRAL DERMATOLOGY LLC

Location Address3808 S. GREYSTONE CT.Springfield, MO 65804

Mailing Address3808 S. Greystone Ct.Springfield, MO 65804 · (417) 889-3332 · Fax (417) 881-1410

Phone(417) 889-3332

Fax(417) 881-1410

Organization SubpartNo

Authorized OfficialMichelle HawkinsOffice Manager · (417) 889-3332

Enumeration DateFebruary 3, 2022

NPPES CertifiedFebruary 3, 2022

✔ NPI 1336892850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X

3808 S. GREYSTONE CT., Springfield, MO 65804

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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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMissouriEnrollment IDO20220311000511Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Admiral Dermatology LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Meghan Seago, M.D.

Dermatology

NPI 1972764017

3808 S GREYSTONE CT
Springfield, MO 65804

(417) 889-3332

✔ 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 Admiral Dermatology LLC's NPI number?

The NPI number for Admiral Dermatology LLC is 1336892850. It was assigned to this organization in the NPPES registry on February 3, 2022.

Where is Admiral Dermatology LLC located?

Admiral Dermatology LLC is located at 3808 S. Greystone Ct., Springfield, MO 65804. The listed phone number is (417) 889-3332.

What is Admiral Dermatology LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Admiral Dermatology LLC enrolled in Medicare?

Yes. Admiral Dermatology LLC is registered in the Medicare PECOS enrollment system.

When is Admiral Dermatology LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Missouri, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Admiral Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Admiral Dermatology LLC. 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 Admiral Dermatology LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Admiral Dermatology LLC 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 Admiral Dermatology LLC was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.