ADVANCED DERMATOLOGY
NPI 1366672610
Dermatology in Jacksonville, FL
About Advanced Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED DERMATOLOGY (NPI 1366672610) is a healthcare organization registered as a dermatology in Jacksonville, Florida and active in the NPI registry since July 2009. The organization lists Nefrita Logan, Provider Service Rep, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
115Medicare enrollment records show 115 clinicians reassign Medicare billing to Advanced Dermatology, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 115Source: 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 Leavitt Medical Associates Of Florida Inc's NPI number?
The NPI number for Leavitt Medical Associates Of Florida Inc is 1366672610. It was assigned to this organization in the NPPES registry on July 21, 2009. The provider is doing business as Advanced Dermatology.
Where is Leavitt Medical Associates Of Florida Inc located?
Leavitt Medical Associates Of Florida Inc is located at 14546 Old Saint Augustine Rd Suite 407, Jacksonville, FL 32258. The listed phone number is (904) 400-6565.
What is Leavitt Medical Associates Of Florida Inc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Leavitt Medical Associates Of Florida Inc enrolled in Medicare?
Yes. Leavitt Medical Associates Of Florida Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Leavitt Medical Associates Of Florida Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 7 Medicare specialties reassign their Medicare billing to Leavitt Medical Associates Of Florida Inc. 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 (63), Nurse Practitioner (35) and Plastic and Reconstructive Surgery (8). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Leavitt Medical Associates Of Florida Inc was last updated on July 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.