ADVANCED DERMATOLOGY
NPI 1366672610
Dermatology in Jacksonville, FL

Active since July 21, 2009
14546 OLD SAINT AUGUSTINE RD, SUITE 407, JACKSONVILLE, FL 32258(904) 400-6565 Get Directions Write a Review

NPPES record last updated: July 21, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1366672610
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Location Address14546 OLD SAINT AUGUSTINE RD, SUITE 407Jacksonville, FL 32258-5468
Mailing Address2600 Lake Lucien Dr, Suite 180Maitland, FL 32751-7233 · (407) 875-2080 · Fax (407) 875-0518
Organization SubpartYesParent: Lmg
Authorized OfficialNefrita LoganProvider Service Rep · (407) 875-2080
Enumeration DateJuly 21, 2009
✔ NPI 1366672610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
14546 OLD SAINT AUGUSTINE RD, Jacksonville, FL 32258

Other Names 1

Doing Business AsAdvanced Dermatology

Other Identifiers 1

Medicare UPIN98046FL

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

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

115

Medicare 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

Dermatology63
Nurse Practitioner35
Plastic and Reconstructive Surgery8
Pathology5
Micrographic Dermatologic Surgery (MDS)2
Otolaryngology1
Physician Assistant1

Nearest to this location (20)

See all 115
Nurse Practitioner
NPI 1033613898
12525 PHILIPS HWY
Jacksonville, FL 32256
(904) 400-6565
✔ PECOS✔ Accepts Medicare1.1 mi
Nurse Practitioner
NPI 1730345943
4727 SUNBEAM RD
Jacksonville, FL 32257
(904) 880-0622
✔ PECOS✔ Accepts Medicare5.8 mi
Nurse Practitioner
NPI 1356071658
6890 BELFORT OAKS PL
Jacksonville, FL 32216
(904) 296-1313
✔ PECOS✔ Accepts Medicare8.6 mi
Dermatology
NPI 1932526209
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare10 mi
Dermatology
NPI 1841285723
520 A1A N STE 203
Ponte Vedra, FL 32082
(904) 567-3291
✔ PECOS✔ Accepts Medicare11 mi
Dermatology
NPI 1447242748
1495 KINGSLEY AVE
Orange Park, FL 32073
(904) 354-4488
✔ PECOS✔ Accepts Medicare12 mi
Micrographic Dermatologic Surgery (MDS)
NPI 1700926896
1639 ATLANTIC BLVD STE 100
Jacksonville, FL 32207
(664) 003-3768
✔ PECOS✔ Accepts Medicare13 mi
Dermatology
NPI 1548418346
1551 RIVERSIDE AVE
Jacksonville, FL 32204
(904) 354-4488
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1275666307
8 OFFICE PARK DR. # A
Palm Coast, FL 32137
(386) 446-4466
✔ PECOS✔ Accepts Medicare45 mi
Dermatology
NPI 1326149949
725 W GRANADA BLVD UNIT 44
Ormond Beach, FL 32174
(386) 898-0547
✔ PECOS✔ Accepts Medicare65 mi
Dermatology
NPI 1578855300
600 W PLYMOUTH AVE
Deland, FL 32720
(386) 738-0322
✔ PECOS✔ Accepts Medicare77 mi
Dermatology
NPI 1154431617
818 N WOODLAND BLVD
Deland, FL 32720
(386) 738-8000
✔ PECOS✔ Accepts Medicare77 mi
Dermatology
NPI 1477976082
1720 DUNLAWTON AVE STE 2
Port Orange, FL 32127
(866) 400-3376
✔ PECOS✔ Accepts Medicare77 mi
Dermatology
NPI 1942302799
1720 DUNLAWTON AVE STE 2
Port Orange, FL 32127
(386) 322-8310
✔ PECOS✔ Accepts Medicare77 mi
Dermatology
NPI 1821286535
2893 ENTERPRISE RD STE 100
Debary, FL 32713
(386) 789-8600
✔ PECOS✔ Accepts Medicare87 mi
Nurse Practitioner
NPI 1346818937
340 HEALD WAY STE 238
The Villages, FL 32163
(866) 400-3376
✔ PECOS✔ Accepts Medicare91 mi
Nurse Practitioner
NPI 1437600707
1816 SALK AVE
Tavares, FL 32778
(352) 343-2461
✔ PECOS✔ Accepts Medicare92 mi
Plastic and Reconstructive Surgery
NPI 1184850018
120 INTERNATIONAL PKWY SUITE 240
Heathrow, FL 32746
(407) 333-4200
✔ PECOS✔ Accepts Medicare96 mi
Plastic and Reconstructive Surgery
NPI 1306133004
120 INTERNATIONAL PKWY
Lake Mary, FL 32746
(866) 400-3376
✔ PECOS✔ Accepts Medicare96 mi
Physician Assistant
NPI 1457789307
120 INTERNATIONAL PARKWAY SUITE 300
Heathrow, FL 32746
(407) 333-4200
✔ PECOS✔ Accepts Medicare96 mi
See all 115 clinicians

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 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.