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

NPI Status: Active since May 10, 2007

Contact Information

4566 E HIGHWAY 20
SUITE 101
NICEVILLE, FL
ZIP 32578
Phone: (850) 897-7546
Fax: (850) 897-7547

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  • Organization
  • Dermatology
  • Procedural Dermatology
  • CLIA Number: 10D1011968
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-09-2027

About DERMATOLOGY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Dermatology Surgery Center, a provider established in Niceville, Florida operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1699989301 assigned on May 2007. The practitioner's primary taxonomy code is 207NS0135X with license number OS7143 (FL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Dermatology Surgery Center. The authorized official of this NPI record is Scott L. Beals D.o. (Physician)

NPI
1699989301
Provider Legal Name
SCOTT BEALS DO PA
Other Organization Name
DERMATOLOGY SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4566 E HIGHWAY 20 SUITE 101 NICEVILLE, FL 32578
Location Phone
(850) 897-7546
Location Fax
(850) 897-7547
Mailing Address
4566 E HIGHWAY 20 SUITE 101 NICEVILLE, FL 32578
Mailing Phone
(850) 897-7546
Mailing Fax
(850) 897-7547
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-10-2007
Last Update Date
11-24-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Procedural Dermatology

Taxonomy Code
207NS0135X
Type
Allopathic & Osteopathic Physicians
License No.
OS7143
License State
FL
Taxonomy Description
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).

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT L. BEALS D.O.

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(850) 897-7546

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
K4270OTHER (01)FLFLORIDA MEDICARE PTAN GROUP #
266706100MEDICAID (05)FL 
13586YOTHER (01)FLFLORIDA MEDICARE PTAN INDIVIDUAL #
H62236MEDICARE UPIN (02)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D1011968
Facility Type
Physician Office
Certificate Effective Date
June 10, 2025
Certificate Expiration Date
June 09, 2027
Laboratory Director
SCOTT L. BEALS
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Dermatology Surgery Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1699989301, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 8 + 9 + 1 + 8 + 8 + 1 + 8 + 3 + 0 + 24 = 79

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 79 is 80. The difference is the calculated check digit.

80 - 79 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1699989301.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Internal Medicine
4566 E HIGHWAY 20, STE 103
NICEVILLE, FL 32578
Chiropractor
4566 E HIGHWAY 20, SUITE205
NICEVILLE, FL 32578
Urology
4566 E HIGHWAY 20, SUITE 102
NICEVILLE, FL 32578
Internal Medicine
4566 E HIGHWAY 20, STE. 105
NICEVILLE, FL 32578
Nurse Practitioner (Pediatrics)
4566 E HIGHWAY 20, SUITE 101
NICEVILLE, FL 32578
Clinic/Center
4566 E HIGHWAY 20
NICEVILLE, FL 32578
Family Medicine
4566 E HIGHWAY 20, SUITE 105
NICEVILLE, FL 32578
Physician Assistant
4566 E HIGHWAY 20
NICEVILLE, FL 32578
Occupational Therapist (Pediatrics)
4566 E HIGHWAY 20, SUITE 205
NICEVILLE, FL 32578
Dermatology (Dermatopathology)
4566 E HIGHWAY 20, SUITE 101
NICEVILLE, FL 32578
Clinic/Center (Sleep Disorder Diagnostic)
4566 E HIGHWAY 20, SUITE 108
NICEVILLE, FL 32578
Nurse Practitioner (Primary Care)
4566 E HIGHWAY 20, SUITE 102
NICEVILLE, FL 32578

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699989301, enumerated as an "organization" on May 10, 2007.

The provider is located at 4566 E HIGHWAY 20 SUITE 101 NICEVILLE, FL 32578 and the phone number is (850) 897-7546.

Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.