Individual provider Active NPI

Timothy E Knight, M.D.

  • Dermatology Physician
  • Lakeland, FL
National Provider Identifier
1568536126
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME86288 Issued in FL
Practice address
6500 N Socrum Loop Rd
Suite 100
Lakeland, FL 33809-4308
Phone
(863) 853-3331
Fax
(863) 853-3337
NPI assigned
Nov 17, 2006
Last updated
Sep 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 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 ME86288 FL Primary

Addresses

Primary practice location

6500 N Socrum Loop Rd
Suite 100
Lakeland, FL 33809-4308

Mailing address

6500 N Socrum Loop Rd
Suite 100
Lakeland, FL 33809-4179
Phone (863) 853-3331

Other identifiers 10

IdentifierTypeStateIssuer
265978600MedicaidFL
DG5508OtherFLRAILROAD MEDICARE
7988417OtherFLAETNA - TRADITIONAL
03-00964OtherFLUHC
08166OtherFLUNIVERSAL
P0044110OtherFLRAILROAD MEDICARE
11246701OtherFLCITRUS
2122854621301OtherFLBEECHSTREET
1716600OtherFLAETNA - HMO
62853OtherFLBCBS

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
I20071009000759 FL Practitioner - Dermatology 6002902897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Dermatology Clinic PAGroup PAC ID 7315034592, 2 clinicians

Practice addresses (Care Compare)

6500 N Socrum Loop Rd
Suite 100
Lakeland, FL 33809-4179
Phone (863) 853-3331

Merit-based Incentive Payment System (MIPS)

Final score
98.14 of 100Reported as individual
Quality
97.17
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision267
Removal of tissue1-10
Removal of skin lesions1476
Removal of nail tissue1-10
Removal or shaving of skin growth334
Skin biopsy548

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME86288FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North County Dermatology Clinic PA Specialist CurrentSince Mar 20, 2007 Accepting new patients

Locations

6500 N Socrum Loop Rd
Lakeland, FL 33809
Phone (863) 853-3331

6500 N Socrum Loop Rd
#100
Lakeland, FL 33809
Phone (863) 583-3331

930 Marcum Rd
Ste 12
Lakeland, FL 33809
Phone (863) 815-3775

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: doctor@ncdc.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1568536126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 N SOCRUM LOOP RD",
            "address_2": "SUITE 100",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094179",
            "telephone_number": "863-853-3331",
            "fax_number": "863-853-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 N SOCRUM LOOP RD",
            "address_2": "SUITE 100",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094308",
            "telephone_number": "863-853-3331",
            "fax_number": "863-853-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "TIMOTHY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME86288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265978600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5508",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - TRADITIONAL",
            "identifier": "7988417",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "03-00964",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSAL",
            "identifier": "08166",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P0044110",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS",
            "identifier": "11246701",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "2122854621301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - HMO",
            "identifier": "1716600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "62853",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.