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DERMATOLOGY AND LASER CENTER
NPI 1912434242
Dermatology - MOHS-Micrographic Surgery in Orange Park, FL

Active since May 17, 2017
2055 PROFESSIONAL CENTER DR, ORANGE PARK, FL 32073(904) 276-4500(904) 276-4160 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 17, 2017 (2 updates tracked since 2017).

About Dermatology And Laser Center NPPES

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

DERMATOLOGY AND LASER CENTER (NPI 1912434242) is a healthcare organization registered as a mohs-micrographic surgery in Orange Park, Florida and active in the NPI registry since May 2017. The organization lists James S Trimble, President, as its authorized official.

NPPES Registry Identity

NPI1912434242
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameJAMES S. TRIMBLE, M.D. P.A.
Location Address2055 PROFESSIONAL CENTER DROrange Park, FL 32073-4461
Mailing Address2055 Professional Center DrOrange Park, FL 32073-4461 · (904) 276-4500 · Fax (904) 276-4160
Phone(904) 276-4500
Fax(904) 276-4160
Organization SubpartNo
Authorized OfficialJames S TrimblePresident · (904) 276-4500
Enumeration DateMay 17, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1912434242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
2055 PROFESSIONAL CENTER DR, Orange Park, FL 32073
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Other Names 1

Doing Business AsDermatology And Laser Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 And Laser Center 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 Dermatology And Laser Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Laura Hice, APRN
Nurse Practitioner
NPI 1831484013
2055 PROFESSIONAL CENTER DR
Orange Park, FL 32073
(904) 276-4500
✔ PECOS✔ Accepts MedicareSame address
Candice Vanderschaaf
Nurse Practitioner
NPI 1376939652
2055 PROFESSIONAL CENTER DR
Orange Park, FL 32073
(904) 276-4500
✔ PECOS✔ Accepts MedicareSame address
James Trimble, MD
Dermatology
NPI 1508092347
6890 BELFORT OAKS PL
Jacksonville, FL 32216
(904) 296-1313
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 James S. Trimble, M.D. P.A.'s NPI number?

The NPI number for James S. Trimble, M.D. P.A. is 1912434242. It was assigned to this organization in the NPPES registry on May 17, 2017. The provider is doing business as Dermatology And Laser Center.

Where is James S. Trimble, M.D. P.A. located?

James S. Trimble, M.D. P.A. is located at 2055 Professional Center Dr, Orange Park, FL 32073. The listed phone number is (904) 276-4500.

What is James S. Trimble, M.D. P.A.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is James S. Trimble, M.D. P.A. enrolled in Medicare?

Yes. James S. Trimble, M.D. P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through James S. Trimble, M.D. P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to James S. Trimble, M.D. P.A., in Dermatology 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for James S. Trimble, M.D. P.A. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.