SUN DERMATOLOGY LLC
NPI 1407207111
Dermatology in Panama City, FL

Active since June 23, 2016CLIA 10D2116895 · Certificate of Compliance
2101 JENKS AVE, PANAMA CITY, FL 32405(334) 791-5423 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sun Dermatology Llc NPPES

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

SUN DERMATOLOGY LLC (NPI 1407207111) is a healthcare organization registered as a dermatology in Panama City, Florida and active in the NPI registry since June 2016. The organization holds a CLIA Certificate of Compliance certificate valid through October 18, 2026 and lists Leonard Terry Pynes, Authorized Member, as its authorized official.

NPPES Registry Identity

NPI1407207111
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSUN DERMATOLOGY LLC
Location Address2101 JENKS AVEPanama City, FL 32405-4511
Mailing Address2101 Jenks AvePanama City, FL 32405-4511 · (334) 791-5423
Organization SubpartNo
Authorized OfficialLeonard Terry PynesAuthorized Member · (334) 791-5423
Enumeration DateJune 23, 2016
NPI 1407207111 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
2101 JENKS AVE, Panama City, FL 32405

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 10D2116895

Sun Dermatology · Panama City, FL
Active · expires Oct 18, 2026
CLIA Number10D2116895
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorJeremy A. Sunseri
Laboratory Phone(850) 215-8280
Laboratory LocationSun Dermatology643 N Highway 231, Panama City, FL 32405
CLIA data matches this NPI record on: Name
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 Sun Dermatology LLC's NPI number?

The NPI number for Sun Dermatology LLC is 1407207111. It was assigned to this organization in the NPPES registry on June 23, 2016.

Where is Sun Dermatology LLC located?

Sun Dermatology LLC is located at 2101 Jenks Ave, Panama City, FL 32405. The listed phone number is (334) 791-5423.

What is Sun Dermatology LLC's specialty?

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

Does Sun Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2116895) is associated with this NPI, valid through October 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sun Dermatology LLC was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.