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ATLANTIC SKIN SURGERY LLC
NPI 1942555289
Surgery in Port St Lucie, FL

Active since July 23, 2012
176 NW MAGNOLIA LAKES BLVD, PORT ST LUCIE, FL 34986(772) 828-1907 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Atlantic Skin Surgery Llc NPPES

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

ATLANTIC SKIN SURGERY LLC (NPI 1942555289) is a healthcare organization registered as a surgery in Port St Lucie, Florida and active in the NPI registry since July 2012. The organization lists Richard A James, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1942555289
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameATLANTIC SKIN SURGERY LLC
Location Address176 NW MAGNOLIA LAKES BLVDPort St Lucie, FL 34986-3567
Mailing Address176 Nw Magnolia Lakes BlvdPort St Lucie, FL 34986-3567 · (772) 828-1907
Phone(772) 828-1907
Organization SubpartNo
Authorized OfficialRichard A JamesChief Operating Officer · (772) 828-1907
Enumeration DateJuly 23, 2012
✔ NPI 1942555289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME66880
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
176 NW MAGNOLIA LAKES BLVD, Port St Lucie, FL 34986
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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)

Atlantic Skin Surgery Llc 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 Atlantic Skin Surgery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Richard James, MD
General Surgery
NPI 1659387405
176 NW MAGNOLIA LAKES BLVD
Port St Lucie, FL 34986
(772) 828-1907
✔ PECOSSame address

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 Atlantic Skin Surgery LLC's NPI number?

The NPI number for Atlantic Skin Surgery LLC is 1942555289. It was assigned to this organization in the NPPES registry on July 23, 2012.

Where is Atlantic Skin Surgery LLC located?

Atlantic Skin Surgery LLC is located at 176 NW Magnolia Lakes Blvd, Port St Lucie, FL 34986. The listed phone number is (772) 828-1907.

What is Atlantic Skin Surgery LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Atlantic Skin Surgery LLC enrolled in Medicare?

Yes. Atlantic Skin Surgery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Atlantic Skin Surgery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Atlantic Skin Surgery LLC. 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.

When was this NPI record last updated?

The NPPES record for Atlantic Skin Surgery LLC was last updated on July 23, 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.