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NORTH COUNTY DERMATOLOGY CLINIC PA
NPI 1952524126
Dermatology in Lakeland, FL

Active since April 10, 2007CLIA 10D1006481 · Certificate of Compliance
6500 N SOCRUM LOOP RD, SUITE 100, LAKELAND, FL 33809(863) 853-3331(863) 853-3337 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 5, 2025, Aug 23, 2021, Jul 14, 2021 (3 updates tracked since 2021).

About North County Dermatology Clinic Pa NPPES

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

NORTH COUNTY DERMATOLOGY CLINIC PA (NPI 1952524126) is a healthcare organization registered as a dermatology in Lakeland, Florida and active in the NPI registry since April 2007. The organization holds a CLIA Certificate of Compliance certificate valid through September 28, 2027 and lists Timothy E Knight, President, as its authorized official.

NPPES Registry Identity

NPI1952524126
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNORTH COUNTY DERMATOLOGY CLINIC PA
Location Address6500 N SOCRUM LOOP RD, SUITE 100Lakeland, FL 33809-4179
Mailing Address6500 N Socrum Loop Rd, Suite 100Lakeland, FL 33809-4179 · (863) 853-3331 · Fax (863) 853-3337
Phone(863) 853-3331
Fax(863) 853-3337
Organization SubpartNo
Authorized OfficialTimothy E KnightPresident · (863) 853-3331
Enumeration DateApril 10, 2007
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1952524126 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.
6500 N SOCRUM LOOP RD, Lakeland, FL 33809
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Other Identifiers 11

Other03-00964FL · United Health Care
Other7988417FL · Aetna Traditional
Other62853FL · Bcbs
Other08166FL · Universal
Other1716600FL · Aetna Hmo
Other2122854621301FL · Beechstreet
OtherDG5508FL · Railroad Medicare Group
OtherP0044110FL · Railroad Individual
Other490487144FL · Tricare
Other11246701FL · Citrus
Medicaid265978600FL

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

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 10D1006481

North County Dermatology Clinic PA · Lakeland, FL
Active · expires Sep 28, 2027
CLIA Number10D1006481
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorDr. Timothy E. Knight
Laboratory Phone(863) 853-3331
Laboratory LocationNorth County Dermatology Clinic PA6500 N Socrum Loop Rd Ste 100, Lakeland, FL 33809
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLAS WOLHAUPTER
Dermatology
6500 N SOCRUM LOOP RD, SUITE 100
LAKELAND, FL 33809
Polk County (863) 853-3331
DR. TIMOTHY E KNIGHT M.D.
Dermatology
6500 N SOCRUM LOOP RD, SUITE 100
LAKELAND, FL 33809
Polk County (863) 853-3331
ALEXANDRIA LINDSAY MEARS PA
Physician Assistant (Medical)
6500 N SOCRUM LOOP RD
LAKELAND, FL 33809
Polk County (863) 853-3331

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 North County Dermatology Clinic PA's NPI number?

The NPI number for North County Dermatology Clinic PA is 1952524126. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is North County Dermatology Clinic PA located?

North County Dermatology Clinic PA is located at 6500 N Socrum Loop Rd Suite 100, Lakeland, FL 33809. The listed phone number is (863) 853-3331.

What is North County Dermatology Clinic PA's specialty?

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

Does North County Dermatology Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1006481) is associated with this NPI, valid through September 28, 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 North County Dermatology Clinic PA was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.