EMERALD COAST DERMATOLOGY & SKIN SURGERY CENTER P A
NPI 1386639912
Dermatology in Crestview, FL
About Emerald Coast Dermatology & Skin Surgery Center P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMERALD COAST DERMATOLOGY & SKIN SURGERY CENTER P A (NPI 1386639912) is a healthcare organization registered as a dermatology in Crestview, Florida and active in the NPI registry since September 2005. The organization holds a CLIA Certificate of Compliance certificate valid through October 26, 2026 and lists Jillian Owens, Credentialing And Contracting, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Group Practice 1
Accepted Insurance
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 10D0885369
Emerald Coast Dermatology And Skin Surgery Center PA · Crestview, FLOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Emerald Coast Dermatology & Skin Surgery Center P A's NPI number?
The NPI number for Emerald Coast Dermatology & Skin Surgery Center P A is 1386639912. It was assigned to this organization in the NPPES registry on September 20, 2005.
Where is Emerald Coast Dermatology & Skin Surgery Center P A located?
Emerald Coast Dermatology & Skin Surgery Center P A is located at 350 Redstone Ave W, Crestview, FL 32536. The listed phone number is (850) 689-1740.
What is Emerald Coast Dermatology & Skin Surgery Center P A's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Emerald Coast Dermatology & Skin Surgery Center P A hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D0885369) is associated with this NPI, valid through October 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Emerald Coast Dermatology & Skin Surgery Center P A accept?
Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Emerald Coast Dermatology & Skin Surgery Center 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 Emerald Coast Dermatology & Skin Surgery Center P A was last updated on January 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
