Individual provider Active NPI

David C Adams, MD

  • Dermatology Physician
  • Miramar Beach, FL
National Provider Identifier
1528042256
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME92098 Issued in FL
Practice address
12469 Emerald Coast Pkwy W
Miramar Beach, FL 32550-8305
Phone
(850) 654-3376
Fax
(850) 654-3320
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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 ME92098 FL Primary
MOHS-Micrographic Surgery Physician 207ND0101X ME92098 FL

Addresses

Primary practice location

12469 Emerald Coast Pkwy W
Miramar Beach, FL 32550-8305

Mailing address

12469 Emerald Coast Pkwy W
Miramar Beach, FL 32550-8305
Phone (850) 654-3376

Other identifiers 4

IdentifierTypeStateIssuer
7360696OtherFLAETNA
272188100MedicaidFL
59307622OtherBC OF AL
64073OtherFLBSFL

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
I20050516000546 FL Practitioner - Dermatology 8527040310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Jefferson Medical College of Thomas Jefferson University, 1993
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)

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

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) excision104
Removal of tissue1-10
Removal of skin lesions726
Removal of skin cancer1138
Removal or shaving of skin growth162
Skin biopsy193

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME92098FLMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Skin Surgery and Dermatology, PL Dermatology CurrentSince Jun 20, 2010 Accepting new patients
Gregory Winfield Turner Sr MD PA PastSince Nov 1, 2009 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

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

12469 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 650-7877

4400 E Highway 20
Ste 410
Niceville, FL 32578
Phone (850) 897-2000

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

Organizations & group practices 3

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1528042256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12469 EMERALD COAST PKWY W",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325508305",
            "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": "12469 EMERALD COAST PKWY W",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325508305",
            "telephone_number": "850-654-3376",
            "fax_number": "850-654-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME92098",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME92098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7360696",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272188100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF AL",
            "identifier": "59307622",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSFL",
            "identifier": "64073",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar Beach, FL

Sources for this page

Verify at the official NPI Registry.