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DERMATOLOGY SURGERY CENTER
NPI 1699989301
Dermatology - Procedural Dermatology in Niceville, FL

Active since May 10, 2007CLIA 10D1011968 · Certificate of Compliance
4566 E HIGHWAY 20, SUITE 101, NICEVILLE, FL 32578(850) 897-7546(850) 897-7547 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dermatology Surgery Center NPPES

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

DERMATOLOGY SURGERY CENTER (NPI 1699989301) is a healthcare organization registered as a procedural dermatology in Niceville, Florida and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through June 9, 2027 and lists Scott L. Beals, Physician, as its authorized official.

NPPES Registry Identity

NPI1699989301
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameSCOTT BEALS DO PA
Location Address4566 E HIGHWAY 20, SUITE 101Niceville, FL 32578-8838
Mailing Address4566 E Highway 20, Suite 101Niceville, FL 32578-8838 · (850) 897-7546 · Fax (850) 897-7547
Phone(850) 897-7546
Fax(850) 897-7547
Organization SubpartNo
Authorized OfficialScott L. BealsPhysician · (850) 897-7546
Enumeration DateMay 10, 2007
Last NPPES UpdateNovember 24, 2014
✔ NPI 1699989301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in FL · OS7143
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
4566 E HIGHWAY 20, Niceville, FL 32578
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Other Names 1

Doing Business AsDermatology Surgery Center

Other Identifiers 4

OtherK4270FL · Florida Medicare Ptan Group #
Medicaid266706100FL
Other13586YFL · Florida Medicare Ptan Individual #
Medicare UPINH62236FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Surgery Center 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 Dermatology Surgery Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Scott Beals, D.O.
Dermatology
NPI 1912000464
4566 E HIGHWAY 20 SUITE 101
Niceville, FL 32578
(850) 897-7546
✔ 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.

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 10D1011968

Scott Beals Do PA Dba Dermatology Surgery Center · Niceville, FL
Active · expires Jun 9, 2027
CLIA Number10D1011968
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorScott L. Beals
Laboratory Phone(850) 897-7546
Laboratory LocationScott Beals Do PA Dba Dermatology Surgery Center4566 Hwy 20 E Ste 101, Niceville, FL 32578
CLIA data matches this NPI record on: 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.

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 Scott Beals Do PA's NPI number?

The NPI number for Scott Beals Do PA is 1699989301. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is doing business as Dermatology Surgery Center.

Where is Scott Beals Do PA located?

Scott Beals Do PA is located at 4566 E Highway 20 Suite 101, Niceville, FL 32578. The listed phone number is (850) 897-7546.

What is Scott Beals Do PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Scott Beals Do PA enrolled in Medicare?

Yes. Scott Beals Do PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Scott Beals Do PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Scott Beals Do PA. 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.

Does Scott Beals Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1011968) is associated with this NPI, valid through June 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Scott Beals Do PA was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.