SOUTH TAMPA DERMATOLOGY
NPI 1467568477
Specialist in Tampa, FL

Q: What is South Tampa Dermatology Pl's NPI number?

The NPI number for South Tampa Dermatology Pl is 1467568477. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as South Tampa Dermatology.

Q: What is South Tampa Dermatology Pl's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since August 22, 2006

2605 W SWANN AVE, SUITE #300, TAMPA, FL 33609(813) 872-9551(813) 872-9554 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About South Tampa Dermatology NPPES

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

SOUTH TAMPA DERMATOLOGY (NPI 1467568477) is a healthcare organization registered as a specialist in Tampa, Florida and active in the NPI registry since August 2006. The organization lists James G Flynn, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1467568477

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTH TAMPA DERMATOLOGY PL

Location Address2605 W SWANN AVE, SUITE #300Tampa, FL 33609-4039

Mailing Address2605 W Swann Ave, Suite #300Tampa, FL 33609-4039 · (813) 872-9551 · Fax (813) 872-9554

Phone(813) 872-9551

Fax(813) 872-9554

Organization SubpartNo

Authorized OfficialJames G FlynnTreasurer · (813) 872-9551

Enumeration DateAugust 22, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1467568477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME66332

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2605 W SWANN AVE, Tampa, FL 33609

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Other Names 1

Doing Business AsSouth Tampa Dermatology

Other Identifiers 1

Other26291AFL · Bcbs

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

South Tampa Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to South Tampa Dermatology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Linda Flynn, M.D.

Dermatology

NPI 1194854679

2605 W SWANN AVE SUITE #300
Tampa, FL 33609

(813) 872-9551

✔ 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.

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 South Tampa Dermatology Pl's NPI number?

The NPI number for South Tampa Dermatology Pl is 1467568477. It was assigned to this organization in the NPPES registry on August 22, 2006. The provider is doing business as South Tampa Dermatology.

Where is South Tampa Dermatology Pl located?

South Tampa Dermatology Pl is located at 2605 W Swann Ave Suite #300, Tampa, FL 33609. The listed phone number is (813) 872-9551.

What is South Tampa Dermatology Pl's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is South Tampa Dermatology Pl enrolled in Medicare?

Yes. South Tampa Dermatology Pl is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Tampa Dermatology Pl?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to South Tampa Dermatology Pl. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Tampa Dermatology Pl accept?

Health plans from AvMed list South Tampa Dermatology Pl 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 South Tampa Dermatology Pl was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.