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NORTH FLORIDA DERMATOLOGY LLC
NPI 1689023830
Dermatology in Lake City, FL

Active since June 08, 2016CLIA 10D2125376 · Certificate of Compliance
1722 SW NEWLAND WAY, LAKE CITY, FL 32025(386) 344-6102(386) 344-6103 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2024, May 3, 2021, Apr 29, 2021 and 6 more (9 updates tracked since 2016).

About North Florida Dermatology Llc NPPES

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

NORTH FLORIDA DERMATOLOGY LLC (NPI 1689023830) is a healthcare organization registered as a dermatology in Lake City, Florida and active in the NPI registry since June 2016. The organization holds a CLIA Certificate of Compliance certificate valid through July 5, 2027 and lists Kelly Tepedino, Owner, as its authorized official.

NPPES Registry Identity

NPI1689023830
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTH FLORIDA DERMATOLOGY LLC
Location Address1722 SW NEWLAND WAYLake City, FL 32025-6915
Mailing AddressPo Box 530033Atlanta, GA 30353-0033 · (386) 344-6102 · Fax (386) 344-6103
Phone(386) 344-6102
Fax(386) 344-6103
Organization SubpartNo
Authorized OfficialKelly TepedinoOwner · (386) 344-6102
Enumeration DateJune 8, 2016
Last NPPES UpdateMarch 7, 20249 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1689023830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · ME122956
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.
1722 SW NEWLAND WAY, Lake City, FL 32025
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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL).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 of Compliance 10D2125376

North Florida Dermatology · Lake City, FL
Active · expires Jul 5, 2027
CLIA Number10D2125376
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorKelly D. Tepedino
Laboratory Phone(386) 344-6102
Laboratory LocationNorth Florida Dermatology1722 SW Newland Way, Lake City, FL 32025
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

HILLARY BAILEY DNP, APRN
Nurse Practitioner (Family)
1722 SW NEWLAND WAY
LAKE CITY, FL 32025
Columbia County (386) 754-4111
MIGUEL J TEPEDINO MD PA
Family Medicine
1722 SW NEWLAND WAY
LAKE CITY, FL 32025
Columbia County (386) 754-4111
MIGUEL JOSE TEPEDINO MD
Family Medicine
1722 SW NEWLAND WAY
LAKE CITY, FL 32025
Columbia County (386) 754-4111
KELLY DIANE TEPEDINO MD
Dermatology
1722 SW NEWLAND WAY
LAKE CITY, FL 32025
Columbia County (386) 344-6102
JESSICA BELL PA-C
Physician Assistant
1722 SW NEWLAND WAY
LAKE CITY, FL 32025
Columbia County (386) 344-6102
JESSICA O'SULLIVAN MURRAY PA-C
Physician Assistant
1722 SW NEWLAND WAY
LAKE CITY, FL 32025
Columbia County (386) 754-4111
SPRING MARIE CRAMER APRN
Nurse Practitioner (Family)
1722 SW NEWLAND WAY
LAKE CITY, FL 32025
Columbia County (386) 754-4111

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 North Florida Dermatology LLC's NPI number?

The NPI number for North Florida Dermatology LLC is 1689023830. It was assigned to this organization in the NPPES registry on June 8, 2016.

Where is North Florida Dermatology LLC located?

North Florida Dermatology LLC is located at 1722 SW Newland Way, Lake City, FL 32025. The listed phone number is (386) 344-6102.

What is North Florida Dermatology LLC's specialty?

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

Does North Florida Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2125376) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Florida Dermatology LLC accept?

Health plans from AvMed and Florida Blue (BlueCross BlueShield FL) list North Florida Dermatology LLC 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 North Florida Dermatology LLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.