DERMATOLOGY ADVANCED CARE, P.A.
NPI 1376714162
Dermatology in Tallahassee, FL

Active since March 19, 2008CLIA 10D1010056 · Certificate of Compliance
2433 MAHAN DR, TALLAHASSEE, FL 32308(850) 219-8811(850) 219-8883 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dermatology Advanced Care, P.a. NPPES

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

DERMATOLOGY ADVANCED CARE, P.A. (NPI 1376714162) is a healthcare organization registered as a dermatology in Tallahassee, Florida and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through March 24, 2027 and lists James Brewster Caldwell, President, as its authorized official.

NPPES Registry Identity

NPI1376714162
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY ADVANCED CARE, P.A.
Location Address2433 MAHAN DRTallahassee, FL 32308-5329
Mailing Address2433 Mahan DrTallahassee, FL 32308-5329 · (850) 219-8811 · Fax (850) 219-8883
Fax(850) 219-8883
Organization SubpartNo
Authorized OfficialJames Brewster CaldwellPresident · (850) 219-8811
Enumeration DateMarch 19, 2008
✔ NPI 1376714162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · OS7111
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 · License MASTER ID 8538
2433 MAHAN DR, Tallahassee, FL 32308

Other Identifiers 1

Medicare UPING24779FL

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)

Dermatology Advanced Care, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Dermatology Advanced Care, P.A., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1639186513
2433 MAHAN DR
Tallahassee, FL 32308
(850) 219-8811
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1831743806
2433 MAHAN DR
Tallahassee, FL 32308
(850) 219-8811
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1366918658
2433 MAHAN DR
Tallahassee, FL 32308
(580) 219-8811
✔ 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.

CLIA Laboratory Certificates CMS CLIA

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 10D1010056

Dermatology Advanced Care PA · Tallahassee, FL
Active · expires Mar 24, 2027
CLIA Number10D1010056
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorJames B. Caldwell
Laboratory Phone(850) 219-8811
Laboratory LocationDermatology Advanced Care PA2433 Mahan Dr, Tallahassee, FL 32308
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Dermatology Advanced Care, P.A.'s NPI number?

The NPI number for Dermatology Advanced Care, P.A. is 1376714162. It was assigned to this organization in the NPPES registry on March 19, 2008.

Where is Dermatology Advanced Care, P.A. located?

Dermatology Advanced Care, P.A. is located at 2433 Mahan Dr, Tallahassee, FL 32308. The listed phone number is (850) 219-8811.

What is Dermatology Advanced Care, P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Dermatology Advanced Care, P.A. enrolled in Medicare?

Yes. Dermatology Advanced Care, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Advanced Care, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Dermatology Advanced Care, P.A., 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dermatology Advanced Care, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1010056) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Dermatology Advanced Care, P.A. accept?

Health plans from Capital Health Plan list Dermatology Advanced Care, 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 Dermatology Advanced Care, P.A. was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.