Individual provider Active NPI

Zachary Ashton Carter, MD

  • MOHS-Micrographic Surgery Physician
  • Fort Walton Beach, FL
National Provider Identifier
1285098772
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME148314 Issued in FL
Practice address
912 Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone
(850) 314-7546
Fax
(850) 654-3320
NPI assigned
Apr 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 ME148314 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME148314 FL Primary

Addresses

Primary practice location

912 Mar Walt Dr
Fort Walton Beach, FL 32547-6706

Mailing address

12469 Emerald Coast Pkwy W Ste 101
Miramar Beach, FL 32550-8306
Phone (850) 654-3376

Other practice location 1

12469 Emerald Coast Pkwy W Ste 101
Miramar Beach, FL 32550-8306
Phone (850) 654-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210526000375 FL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 2769753193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Texas Southwestern Medical School at Dallas, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Skin Surgery and Dermatology, PLGroup PAC ID 3173715869, 15 clinicians

Practice addresses (Care Compare)

912 Mar Walt Dr
Fort Walton BCH, FL 32547-6706
Phone (850) 314-7546

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision187
Removal of skin lesions679
Removal of skin cancer1093
Removal or shaving of skin growth1-10
Skin biopsy250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148314FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Skin Surgery and Dermatology, PL Dermatology CurrentSince Jul 19, 2021 Accepting new patients

Locations

912 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone (850) 314-7546

12469 US Highway 98 W
Ste 101
Miramar Beach, FL 32550
Phone (850) 654-3376

12139 Panama City Beach Pkwy
Panama City Beach, FL 32407
Phone (850) 234-2242

Interoperability endpoints

  • Direct secure messaging: zcarter@coastalskinsurgery.emadirect.md

Organizations & group practices 1

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": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1285098772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12469 EMERALD COAST PKWY W STE 101",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325508306",
            "telephone_number": "850-654-3376",
            "fax_number": "850-654-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-314-7546",
            "fax_number": "850-654-3320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12469 Emerald Coast Pkwy W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325508306",
            "country_code": "US",
            "telephone_number": "850-654-3376",
            "fax_number": "850-654-3320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ZACHARY",
        "middle_name": "ASHTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2025-06-17",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME148314",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME148314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.