NPIMap

Individual provider Active NPI

Sima D Amin, MD

  • Dermatology Physician
  • Jacksonville Beach, FL
National Provider Identifier
1467912006
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME173833 Issued in FL
Practice address
1361 13TH Ave S Ste 140
Jacksonville Beach, FL 32250-3263
Phone
(904) 372-8031
Fax
(904) 372-6122
NPI assigned
Mar 20, 2019
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME173833 FL Primary

Addresses

Primary practice location

1361 13TH Ave S Ste 140
Jacksonville Beach, FL 32250-3263

Mailing address

1361 13TH Ave S Ste 140
Jacksonville Beach, FL 32250-3263
Phone (904) 372-8031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SD, FL, DC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20201019003334 AL Practitioner - Dermatology 8325468044 Reassigns benefits to 1 organization
I20251119004692 SD Practitioner - Dermatology 8325468044 Reassigns benefits to 1 organization
I20260306003309 FL Practitioner - Dermatology 8325468044 Reassigns benefits to 1 organization
I20260513004396 DC Practitioner - Dermatology 8325468044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Virginia IncGroup PAC ID 9436438538, 27 clinicians
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1361 13TH Ave S
Suite 140
Jacksonville Beach, FL 32250-3263
Phone (904) 372-8031

3700 Joseph Siewick Dr
Suite 302
Fairfax, VA 22033-1739
Phone (703) 648-2488

6701 S Minnesota Ave
Sioux Falls, SD 57108-2591
Phone (605) 322-6960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions156
Removal or shaving of skin growth1-10
Skin biopsy100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME173833FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Sep 1, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2020 Accepting new patients
River City Dermatology PLLC Dermatology CurrentSince Mar 2, 2026 Accepting new patients
Avera McKennan Dermatology CurrentSince Sep 1, 2025 Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1361 13th Ave S
Ste 140
Jacksonville Beach, FL 32250
Phone (904) 261-8400

6701 S Minnesota Ave
Sioux Falls, SD 57108
Phone (605) 322-6960

Interoperability endpoints

  • Direct secure messaging: simaamin@direct.uabmedicine.org

Organizations & group practices 7

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

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1467912006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 140",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503263",
            "telephone_number": "904-372-8031",
            "fax_number": "904-372-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 140",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503263",
            "telephone_number": "904-372-8031",
            "fax_number": "904-372-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "SIMA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME173833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.