Divine Dermatology PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME87149 Issued in FL

Legal business name

DIVINE DERMATOLOGY PLLC

Practice address

2191 9TH Ave N Ste 100
St Petersburg, FL 33713-7147

Phone

(727) 528-0321

Fax

(727) 498-8832

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Neha Chandan, MDNPI 1114554870

Title

Owner

Phone

(727) 528-0321

Specialties & licenses 2

Addresses

Other names 1

• Prime Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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 4

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

• Neha Chandan, MD

  • MOHS-Micrographic Surgery Physician
  • St Petersburg, FL
  • NPI 1114554870

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Aleece Allbritton, PA-C

  • Physician Assistant
  • St Petersburg, FL
  • NPI 1437864832
  Medicare reassignment Care Compare group NPD
• Carol Jeanne Sims-Robertson, MD

  • Dermatology Physician
  • St Petersburg, FL
  • NPI 1689688830
  Medicare reassignment Care Compare group NPD
• Alexandra Christine Summitt, D.N.P.

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1255981338

  Dermatology

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1508976010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137147",
            "telephone_number": "727-528-0321",
            "fax_number": "727-498-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 9TH AVE N STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137147",
            "telephone_number": "727-528-0321",
            "fax_number": "727-498-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "CHANDAN",
        "authorized_official_first_name": "NEHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-528-0321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME87149",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Wayne Dismore
• Dispatchhealth-Florida PA
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• Diversity Health LLC
• Divine Breast Imaging LLC
• Cara Dixon-Taliaferro, LMHC
• Dawn Eu'Lette Dixon
• Denise L Dixon
• Melissa Dixon, LCSW
• Taylor Charles Dixon

• Dermatology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.