MIDSTATE SKIN INSTITUTE, LLC
NPI 1912258989
Dermatology in Ocala, FL

Q: What is Midstate Skin Institute, LLC's NPI number?

The NPI number for Midstate Skin Institute, LLC is 1912258989. It was assigned to this organization in the NPPES registry on September 30, 2012.

Q: What is Midstate Skin Institute, LLC's specialty?

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

Active since September 30, 2012CLIA Certified · 3 labs

1740 SE 18TH ST STE 1102, OCALA, FL 34471(352) 512-0092(352) 512-0093 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Jan 25, 2021 (2 updates tracked since 2021).

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About Midstate Skin Institute, Llc NPPES

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

MIDSTATE SKIN INSTITUTE, LLC (NPI 1912258989) is a healthcare organization registered as a dermatology in Ocala, Florida and active in the NPI registry since September 2012. The organization holds 3 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Ashley Cauthen, President/managing Member, as its authorized official.

NPPES Registry Identity

NPI1912258989

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameMIDSTATE SKIN INSTITUTE, LLC

Location Address1740 SE 18TH ST STE 1102Ocala, FL 34471-5447

Mailing Address1740 Se 18th St Ste 1102Ocala, FL 34471-5447 · (352) 512-0092 · Fax (352) 512-0093

Phone(352) 512-0092

Fax(352) 512-0093

Organization SubpartNo

Authorized OfficialAshley CauthenPresident/managing Member · (352) 512-0092

Enumeration DateSeptember 30, 2012

Last NPPES UpdateAugust 28, 20232 updates tracked since enumeration

NPPES CertifiedAugust 24, 2023

✔ NPI 1912258989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in FL · ME112254

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.

1740 SE 18TH ST STE 1102, Ocala, FL 34471

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Secondary Practice Locations 3

Location 17648 SW 61st Ave., STE 100Ocala, FL 34476-8310 · Phone (352) 512-0092 · Fax (352) 512-0093

Location 23210 SW 33rd Rd Ste 101Ocala, FL 34474-7409 · Phone (352) 470-0770 · Fax (352) 512-0093

Location 37550 SW 61st Ave Ste 1Ocala, FL 34476-8310 · Phone (352) 732-7337 · Fax (352) 512-0093

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 Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 Waiver 10D2172515

Midstate Skin Institute LLC · Ocala, FL

Active · expires Sep 23, 2027

CLIA Number10D2172515

Laboratory TypePhysician Office

Certificate Effective DateSeptember 24, 2025

Certificate Expiration DateSeptember 23, 2027

Laboratory DirectorAshley B. Cauthen

Laboratory Phone(352) 512-0092

Laboratory LocationMidstate Skin Institute LLC7550 SW 61st Ave Ste 1, Ocala, FL 34476

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2172520

Midstate Skin Institute LLC · Ocala, FL

Active · expires Sep 23, 2027

CLIA Number10D2172520

Laboratory TypePhysician Office

Certificate Effective DateSeptember 24, 2025

Certificate Expiration DateSeptember 23, 2027

Laboratory DirectorAshley B. Cauthen

Laboratory Phone(352) 512-0092

Laboratory LocationMidstate Skin Institute LLC1740 SE 18th St Ste 1102, Ocala, FL 34471

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 10D2123689

Midstate Skin Institute LLC · Ocala, FL

Active · expires Mar 14, 2027

CLIA Number10D2123689

Laboratory TypePhysician Office

Certificate Effective DateMarch 15, 2025

Certificate Expiration DateMarch 14, 2027

Laboratory DirectorDaven Doshi

Laboratory Phone(352) 470-0770

Laboratory LocationMidstate Skin Institute LLC3210 SW 33rd Road Ste 101, Ocala, FL 34474

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.

KENDALL KOHL THURSTON RN

Nurse Practitioner