Individual provider Active NPI

Hailey Grubbs, DO

  • Dermatology Physician
  • Rockledge, FL
National Provider Identifier
1114487246
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS023624 Issued in PA
Practice address
1286 Florida Ave S Ste 1
Rockledge, FL 32955-2400
Phone
(321) 301-4747
Fax
(321) 636-1152
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS20055 FL
Dermatology Physician 207N00000X OS023624 PA Primary

Addresses

Primary practice location

1286 Florida Ave S Ste 1
Rockledge, FL 32955-2400

Mailing address

1286 Florida Ave S Ste 1
Rockledge, FL 32955-2400
Phone (321) 301-4747

Other practice location 1

7800 W. Oakland Park Boulevard
S. 116
Sunrise, FL 33351
Phone (954) 742-0306

Other practice location 2

2221 Garrett Rd
Drexel Hill, PA 19026-1101
Phone (610) 623-5885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 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
I20230707001505 FL Practitioner - Dermatology 7911366000 Reassigns benefits to 1 organization
I20240731000107 PA Practitioner - Dermatology 7911366000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Roberts and Bryan PAGroup PAC ID 3678563251, 14 clinicians

Practice addresses (Care Compare)

1071 Port Malabar Blvd NE
Suite 101
Palm Bay, FL 32905-5161
Phone (321) 636-7780

Merit-based Incentive Payment System (MIPS)

Final score
89.52 of 100Reported as group
Quality
87.67
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of tissue1-10
Removal of skin lesions285
Removal of skin cancer104
Removal or shaving of skin growth1-10
Skin biopsy120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS023624PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Dermatology Partners Inc Dermatology CurrentSince Jul 1, 2024 Accepting new patients
DRS Roberts & Bryan PA Dermatology CurrentSince Aug 11, 2025 Accepting new patients
Dermatology Consultants of S FL PA Dermatology PastSince Jul 1, 2023 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Jun 30, 2024 Accepting new patients

Locations

150 N Sykes Creek Pkwy
Ste 102
Merritt Island, FL 32953
Phone (321) 301-4747

1071 Port Malabar Blvd NE
Ste 101
Palm Bay, FL 32905
Phone (321) 636-7780

1286 Florida Ave S
Rockledge, FL 32955
Phone (321) 636-7780

1286 Florida Ave S
Ste 1
Rockledge, FL 32955
Phone (321) 636-7780

4500 S Hopkins Ave
Titusville, FL 32780
Phone (321) 264-2100

1950 Street Rd
Ste 100
Bensalem, PA 19020
Phone (215) 639-7546

258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918

945 E Haverford Rd
Ste 6
Bryn Mawr, PA 19010
Phone (610) 525-1920

2221 Garrett Rd
Drexel Hill, PA 19026
Phone (610) 623-5885

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1114487246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S STE 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552400",
            "telephone_number": "321-301-4747",
            "fax_number": "321-636-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S STE 1",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552400",
            "telephone_number": "321-301-4747",
            "fax_number": "321-636-1152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 W. Oakland Park Boulevard",
            "address_2": "S. 116",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "33351",
            "country_code": "US",
            "telephone_number": "954-742-0306",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2221 Garrett Rd",
            "address_purpose": "LOCATION",
            "city": "Drexel Hill",
            "state": "PA",
            "postal_code": "190261101",
            "country_code": "US",
            "telephone_number": "610-623-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBBS",
        "first_name": "HAILEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS20055",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS023624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.