ORMOND BEACH DERMATOLOGY
NPI 1649314212
Dermatology - MOHS-Micrographic Surgery in Ormond Beach, FL

Active since February 16, 2007
305 CLYDE MORRIS BLVD, SUITE 150, ORMOND BEACH, FL 32174(386) 615-1771 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ormond Beach Dermatology NPPES

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

ORMOND BEACH DERMATOLOGY (NPI 1649314212) is a healthcare organization registered as a mohs-micrographic surgery in Ormond Beach, Florida and active in the NPI registry since February 2007. The organization maintains a secondary practice location in Port Orange and lists Sandra M Adams, Manager, as its authorized official.

NPPES Registry Identity

NPI1649314212
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameGINA SEVIGNY M D P A
Location Address305 CLYDE MORRIS BLVD, SUITE 150Ormond Beach, FL 32174-8181
Mailing Address305 Clyde Morris Blvd, Suite 150Ormond Beach, FL 32174-8181 · (386) 615-1771
Organization SubpartNo
Authorized OfficialSandra M AdamsManager · (386) 615-1771
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1649314212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in FL · ME69303
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
305 CLYDE MORRIS BLVD, Ormond Beach, FL 32174

Other Names 1

Doing Business AsOrmond Beach Dermatology

Secondary Practice Location 1

Location 1900 N Swallow Tail DrPort Orange, FL 32129-6102 · Phone (386) 615-1771

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ormond Beach Dermatology, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Dermatology
NPI 1720406580
305 CLYDE MORRIS BLVD STE 150
Ormond Beach, FL 32174
(386) 615-1771
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1790805729
305 CLYDE MORRIS BLVD SUITE 150
Ormond Beach, FL 32174
(386) 615-1771
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1245399237
305 CLYDE MORRIS BLVD SUITE 150
Ormond Beach, FL 32174
(386) 615-1771
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902966336
305 CLYDE MORRIS BLVD SUITE 150
Ormond Beach, FL 32174
(386) 615-1771
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538206073
311 N CLYDE MORRIS BLVD SUITE 440
Daytona Beach, FL 32114
(386) 258-4940
✔ PECOS✔ Accepts Medicare4.7 mi
Dermatology
NPI 1972708329
3210 SW 33RD RD STE 101
Ocala, FL 34474
(352) 512-0092
✔ PECOS✔ Accepts Medicare66 mi

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 Gina Sevigny M D P A's NPI number?

The NPI number for Gina Sevigny M D P A is 1649314212. It was assigned to this organization in the NPPES registry on February 16, 2007. The provider is doing business as Ormond Beach Dermatology.

Where is Gina Sevigny M D P A located?

Gina Sevigny M D P A is located at 305 Clyde Morris Blvd Suite 150, Ormond Beach, FL 32174. The listed phone number is (386) 615-1771.

What is Gina Sevigny M D P A's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Gina Sevigny M D P A enrolled in Medicare?

Yes. Gina Sevigny M D P A is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gina Sevigny M D P A?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Gina Sevigny M D P A. 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. The largest specialties are Dermatology (4) and Nurse Practitioner (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gina Sevigny M D P A accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gina Sevigny M D 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 Gina Sevigny M D P A was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.