Individual provider Active NPI

Armand B Cognetta Jr., M.D.

  • MOHS-Micrographic Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1003922592
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME0036591 Issued in FL
Practice address
1707 Riggins Rd
Tallahassee, FL 32308-5317
Phone
(850) 877-4134
Fax
(850) 402-9130
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME0036591 FL Primary

Addresses

Primary practice location

1707 Riggins Rd
Tallahassee, FL 32308-5317

Mailing address

PO Box 13859
Tallahassee, FL 32317-3859
Phone (850) 877-4134

Other identifiers 1

IdentifierTypeStateIssuer
37419OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100514000702 FL Practitioner - Dermatology 2961301759 Reassigns benefits to 1 organization
I20151015001071 GA Practitioner - Dermatology 2961301759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Connecticut School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 NE 5TH St
Carrabelle, FL 32322-3529
Phone (850) 877-4134

Merit-based Incentive Payment System (MIPS)

Final score
89.59 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
72.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision258
Removal of tissue1-10
Removal of skin lesions645
Removal of skin cancer659
Removal or shaving of skin growth11
Skin biopsy624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Tallahassee, PA CurrentSince Jun 1, 1980 Accepting new patients
Dermatology Associates of Tallahassee PA CurrentSince Jun 1, 1980 Accepting new patients
Thacker Dermatology LLC PastSince Dec 26, 2012 Accepting new patients

Locations

110 NE 5th St
Carrabelle, FL 32322
Phone (850) 697-1118

1707 Riggins Rd
Tallahassee, FL 32308
Phone (850) 205-6232

2401 Osler Ct
Albany, GA 31707
Phone (229) 469-4383

511 Gordon Ave
Thomasville, GA 31792
Phone (229) 226-5616

4233 Camelot Xing
Valdosta, GA 31602
Phone (229) 469-4383

Interoperability endpoints

  • Direct secure messaging: abc@dat1977.srs-direct.com
  • Direct secure messaging: acognetta@dermse.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1003922592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13859",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173859",
            "telephone_number": "850-877-4134",
            "fax_number": "850-402-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 RIGGINS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085317",
            "telephone_number": "850-877-4134",
            "fax_number": "850-402-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGNETTA",
        "first_name": "ARMAND",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME0036591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37419",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.