SUN DERMATOLOGY LLC
NPI 1407207111
Dermatology in Panama City, FL
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 lists Leonard Terry Pynes, Authorized Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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)
Sun Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Sun Dermatology LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Panama City Beach, FL 32407
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 10D2116895
Sun Dermatology · Panama City, FLFrequently 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.
Is Sun Dermatology LLC enrolled in Medicare?
Yes. Sun Dermatology LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sun Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Sun Dermatology LLC, 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, 2 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 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.