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GENESIS DERMATOLOGY
NPI 1801093661
Dermatology in Jupiter, FL

Active since June 27, 2007CLIA 10D0953693 · Certificate of Compliance
600 HERITAGE DR, SUITE 100, JUPITER, FL 33458(561) 296-5222(561) 296-5221 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Genesis Dermatology NPPES

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

GENESIS DERMATOLOGY (NPI 1801093661) is a healthcare organization registered as a dermatology in Jupiter, Florida and active in the NPI registry since June 2007. The organization holds a CLIA Certificate of Compliance certificate valid through February 3, 2027 and lists Shawna Flanagan, Owner, as its authorized official.

NPPES Registry Identity

NPI1801093661
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGENESIS DERMATOLOGY
Location Address600 HERITAGE DR, SUITE 100Jupiter, FL 33458-3000
Mailing Address600 Heritage Dr, Suite 100Jupiter, FL 33458-3000 · (561) 296-5222 · Fax (561) 296-5221
Phone(561) 296-5222
Fax(561) 296-5221
Organization SubpartNo
Authorized OfficialShawna FlanaganOwner · (561) 296-5222
Enumeration DateJune 27, 2007
Last NPPES UpdateFebruary 21, 2012
✔ NPI 1801093661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
600 HERITAGE DR, Jupiter, FL 33458
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Other Identifiers 1

Medicare ID-Type UnspecifiedK3929FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Genesis Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Shawna Flanagan, MD
Dermatology
NPI 1699754481
600 HERITAGE DR SUITE 101
Jupiter, FL 33458
(561) 296-5222
✔ PECOS✔ Accepts MedicareSame address
Alexandra Gamret, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1912526039
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare246 mi
Lucinda Faulkner, ARNP
Nurse Practitioner
NPI 1568512531
4155 BAKER ST NE STE 100
Covington, GA 30014
(770) 788-0620
✔ PECOS✔ Accepts Medicare514 mi

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 10D0953693

Genesis Dermatology · Jupiter, FL
Active · expires Feb 3, 2027
CLIA Number10D0953693
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2025
Certificate Expiration DateFebruary 3, 2027
Laboratory DirectorDr. Shawna A. Flanagan
Laboratory Phone(561) 296-5222
Laboratory LocationGenesis Dermatology600 Heritage Dr Ste 101, Jupiter, FL 33458
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.

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 Genesis Dermatology's NPI number?

The NPI number for Genesis Dermatology is 1801093661. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Genesis Dermatology located?

Genesis Dermatology is located at 600 Heritage Dr Suite 100, Jupiter, FL 33458. The listed phone number is (561) 296-5222.

What is Genesis Dermatology's specialty?

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

Is Genesis Dermatology enrolled in Medicare?

Yes. Genesis Dermatology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Dermatology?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Genesis Dermatology, in Dermatology, Micrographic Dermatologic Surgery (MDS) and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Genesis Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0953693) is associated with this NPI, valid through February 3, 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 Genesis Dermatology was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.