NPIMap

Organization Active NPI

Dermatology Associates of Bay County, P.a.

  • Dermatology Physician
  • Panama City Beach, FL
National Provider Identifier
1053610550
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.
Practice address
100 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2517
Phone
(850) 769-1668
Fax
(850) 785-2123
NPI assigned
Mar 23, 2011
Organization subpart
Yes
Parent organization
DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Dr. Christopher Wolfe, DONPI 1417073503
Title
President
Phone
(850) 769-1668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

100 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2517

Mailing address

1900 Harrison Ave
Panama City, FL 32405-4542
Phone (850) 769-1668

Other identifiers 2

IdentifierTypeStateIssuer
CB7612OtherFLRR MEDICARE
000164600MedicaidFL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2330746Dermatology Associates of Bay County PA100 Richard Jackson Blvd Suite 140, Panama City Beach, FL 32407ComplianceApr 27, 2028

National Provider Directory

National Provider Directory
Tax ID family
Dermatology Associates4 organizations share this tax ID, including this one
Part of
Dermatology Associates

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1053610550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054542",
            "telephone_number": "850-769-1668",
            "fax_number": "850-785-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N RICHARD JACKSON BLVD STE 140",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072517",
            "telephone_number": "850-769-1668",
            "fax_number": "850-785-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.",
        "enumeration_date": "2011-03-23",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-769-1668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB7612",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000164600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.