Active NPI
Timothy E Knight, M.D.
- Dermatology Physician
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME86288
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265978600 | Medicaid | FL | |
| DG5508 | Other | FL | RAILROAD MEDICARE |
| 7988417 | Other | FL | AETNA - TRADITIONAL |
| 03-00964 | Other | FL | UHC |
| 08166 | Other | FL | UNIVERSAL |
| P0044110 | Other | FL | RAILROAD MEDICARE |
| 11246701 | Other | FL | CITRUS |
| 2122854621301 | Other | FL | BEECHSTREET |
| 1716600 | Other | FL | AETNA - HMO |
| 62853 | Other | FL | BCBS |
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
Enrollment records 1
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
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 100
- Quality
- 97.17
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 267 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1476 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 334 |
| Skin biopsy | 548 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86288 | FL | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North County Dermatology Clinic PA | Specialist | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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; Order and Referring.
- 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.