Organization Active NPI

Dermatology Associates of Bay County, P.a.

  • Dermatology Physician
  • Panama City, FL
National Provider Identifier
1215904404
Registry record updated Jul 15, 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
1900 Harrison Ave
Panama City, FL 32405-4542
Phone
(850) 769-1668
Fax
(850) 785-2123
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 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

1900 Harrison Ave
Panama City, FL 32405-4542

Mailing address

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

Other practice location 1

1733 W Main St Ste 500
Dothan, AL 36301-1321
Phone (334) 699-7546

Other identifiers 2

IdentifierTypeStateIssuer
164600MedicaidFL
99500OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101101001601 FL Part B Supplier - Clinic/Group Practice 5799800322 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
Practice locations: Panama City Beach, FL; Panama City, FL; Chipley, FL
O20110412000387 AL Part B Supplier - Clinic/Group Practice 5799800322 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: Dothan, AL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
10D1101058Dermatology Associates of Bay County PA1900 Harrison Ave, Panama City, FL 32405ComplianceAug 19, 2027

National Provider Directory

National Provider Directory

Locations

877 3rd St
Chipley, FL 32428
Phone (850) 638-4555

100 N Richard Jackson Blvd
Ste 140
Panama City Beach, FL 32407
Phone (850) 769-7546

12216 Panama City Beach Pkwy
Ste D
Panama City Beach, FL 32407
Phone (850) 655-7090

130 N Richard Jackson Blvd
Panama City Beach, FL 32407
Phone (850) 769-7546

12234 Panama City Beach Pkwy
Ste D
Panama City Beach, FL 32407
Phone (850) 249-9636

Practitioners & affiliated clinicians

Practitioners 12

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": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1215904404",
    "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": "1900 HARRISON AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054542",
            "telephone_number": "850-769-1668",
            "fax_number": "850-785-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1733 W Main St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363011321",
            "country_code": "US",
            "telephone_number": "334-699-7546",
            "fax_number": "334-699-7548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.