Dermatology Advanced Care, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS7111 Issued in FL

Legal business name

DERMATOLOGY ADVANCED CARE, P.A.

Practice address

2433 Mahan Dr
Tallahassee, FL 32308-5329

Phone

(850) 219-8811

Fax

(850) 219-8883

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James Brewster Caldwell, D.O.NPI 1639186513

Title

President

Phone

(850) 219-8811

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, AL2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 5

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

• James Brewster Caldwell, DO

  • MOHS-Micrographic Surgery Physician
  • Tallahassee, FL
  • NPI 1639186513

  AL, Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Derrick, FNP-C

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1831743806
  Medicare reassignment Care Compare group NPD
• Sabrina Lellis Mauldin, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1366918658
  Medicare reassignment Care Compare group NPD
• Karen Myers, ARNP

  • Nurse Practitioner
  • Tallahassee, FL
  • NPI 1508836214
  NPD (past)
• Megan McNeece

  • Medical Physician Assistant
  • Montgomery, AL
  • NPI 1790475382
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1376714162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085329",
            "telephone_number": "850-219-8811",
            "fax_number": "850-219-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085329",
            "telephone_number": "850-219-8811",
            "fax_number": "850-219-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ADVANCED CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BREWSTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-219-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS7111",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": "MASTER ID 8538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheetal Ramachandra Deo, MD
• Department of Health Central Pharmacy
• Dependable Diagnostic LLC
• Dependable Services LLC
• Dept of Health Central Pharmacy
• Dermatology Associates of Tallahassee PA
• Leo Christopher Derosier, MD
• Stephanie Derouin, ARNP
• Ashley Derrick, FNP-C
• Filnara F Derrington, PT

• Dermatology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.