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ACADEMIC ALLIANCE IN DERMATOLOGY, INC
NPI 1538802186
Dermatology in St Petersburg, FL

Active since April 20, 2022CLIA 10D2220716 · Microscopy
6776 54TH AVE N, ST PETERSBURG, FL 33709(727) 935-0510(727) 935-0511 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Academic Alliance In Dermatology, Inc NPPES

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

ACADEMIC ALLIANCE IN DERMATOLOGY, INC (NPI 1538802186) is a healthcare organization registered as a dermatology in St Petersburg, Florida and active in the NPI registry since April 2022. The organization holds a CLIA Microscopy certificate valid through December 15, 2027 and lists Angela Ruth Peterman, President/owner, as its authorized official.

NPPES Registry Identity

NPI1538802186
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameACADEMIC ALLIANCE IN DERMATOLOGY, INC
Location Address6776 54TH AVE NSt Petersburg, FL 33709-1405
Mailing Address5210 Webb RdTampa, FL 33615-4518 · (813) 882-9986 · Fax (813) 341-3259
Phone(727) 935-0510
Fax(727) 935-0511
Organization SubpartYes
Authorized OfficialAngela Ruth PetermanPresident/owner · (410) 766-0111
Enumeration DateApril 20, 2022
Last NPPES UpdateApril 21, 2022
NPPES CertifiedApril 21, 2022
✔ NPI 1538802186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedPathology · DermatopathologyTaxonomy 207ZD0900X
6776 54TH AVE N, St Petersburg, FL 33709
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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 for Provider-Performed Microscopy Procedures (PPMP) 10D2220716

Academic Alliance In Dermatology, Inc. · Clearwater, FL
Active · expires Dec 15, 2027
CLIA Number10D2220716
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorKenneth Becker
Laboratory Phone(727) 935-0510
Laboratory LocationAcademic Alliance In Dermatology, Inc.1801 N Beclher Rd Suite B, Clearwater, FL 33765
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIAGNOSTIC CLINIC MEDICAL GROUP INC.
Family Medicine
6776 54TH AVE N
ST PETERSBURG, FL 33709
Pinellas County (727) 548-8500
NEW BEGINNINGS MEDICAL CLINIC, INC.
Health Maintenance Organization
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Pinellas County (727) 865-4166
THE LIO MISSION INC
Health Maintenance Organization
6776 54TH AVE N, SUITE C
ST PETERSBURG, FL 33709
Pinellas County (727) 547-8676
ADVANCED MEDICAL THERAPY INSTITUTE, INC.
Exclusive Provider Organization
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Pinellas County (727) 397-9118
DIAGNOSTIC CLINIC MEDICAL GROUP, INC.
Family Medicine
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Pinellas County (727) 548-8500
APRIL LOUISE SILVERBERG DNP, APRN, AGPCNP-BC
Nurse Practitioner
6776 54TH AVE N
ST PETERSBURG, FL 33709
Pinellas County (727) 935-0510
LISA M DISANTO DO PA
Family Medicine
6776 54TH AVE N, SUITE A
ST PETERSBURG, FL 33709
Pinellas County (727) 548-8500
DR. GEORGE ROGER DUNKELBERGER D.O.
Family Medicine
6776 54TH AVE N, SUITE B
ST PETERSBURG, FL 33709
Pinellas County (727) 548-8500

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 Academic Alliance In Dermatology, Inc's NPI number?

The NPI number for Academic Alliance In Dermatology, Inc is 1538802186. It was assigned to this organization in the NPPES registry on April 20, 2022.

Where is Academic Alliance In Dermatology, Inc located?

Academic Alliance In Dermatology, Inc is located at 6776 54th Ave N, St Petersburg, FL 33709. The listed phone number is (727) 935-0510.

What is Academic Alliance In Dermatology, Inc's specialty?

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

Does Academic Alliance In Dermatology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2220716) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Academic Alliance In Dermatology, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Academic Alliance In Dermatology, Inc 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 Academic Alliance In Dermatology, Inc was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.