Organization Active NPI

Dermatology Associates of Northwest Florida PA

  • Dermatology Physician
  • Pensacola, FL
National Provider Identifier
1457479271
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERMATOLOGY ASSOCIATES OF NORTHWEST FLORIDA PA
Practice address
4850 Grande Dr
Pensacola, FL 32504-5940
Phone
(850) 477-4447
Fax
(850) 477-2225
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Dr. Amy Pote Watson, MDNPI 1891735858
Title
President/Physician
Phone
(850) 477-4447

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

4850 Grande Dr
Pensacola, FL 32504-5940

Mailing address

4850 Grande Dr
Pensacola, FL 32504-5940
Phone (850) 477-4447

Other names 3

  • Pensacola Dermatology Doing business as
  • Pensacola Dermatology by Amy Watson, MD Doing business as
  • Amy P. Watson, M.D. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040913000307 FL Part B Supplier - Clinic/Group Practice 0042287872 Receives reassigned benefits from 4 practitioners
Practice locations: Pensacola, FL

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
10D1030913Dermatology Associates of Northwest Florida PA4850 Grande Dr, Pensacola, FL 32504Provider-performed microscopySep 20, 2026

National Provider Directory

National Provider Directory

Locations

4300 Bayou Blvd
Ste 5
Pensacola, FL 32503
Phone (850) 473-1008

4850 Grande Dr
Pensacola, FL 32504
Phone (850) 477-1110

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5baf204a-7e7e-47b6-b4db-d848c55eb2f5/

Practitioners & affiliated clinicians

Practitioners 4

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1457479271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045940",
            "telephone_number": "850-477-4447",
            "fax_number": "850-477-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 GRANDE DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045940",
            "telephone_number": "850-477-4447",
            "fax_number": "850-477-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES OF NORTHWEST FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-03-05",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "POTE",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "850-477-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pensacola Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pensacola Dermatology by Amy Watson, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pensacola Dermatology by Amy Watson, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amy P. Watson, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.