Individual provider Active NPI

Cheryl Sandoski Jones, M.D.

  • Dermatology Physician
  • Pensacola, FL
National Provider Identifier
1588600795
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0059615 Issued in FL
Practice address
4624 N Davis Hwy Ste 200
Pensacola, FL 32503-2337
Phone
(850) 494-0940
Fax
(850) 696-2913
NPI assigned
Jun 22, 2006
Last updated
Apr 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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 0059615 FL Primary

Addresses

Primary practice location

4624 N Davis Hwy Ste 200
Pensacola, FL 32503-2337

Mailing address

4624 N Davis Hwy Ste 200
Pensacola, FL 32503-2337
Phone (850) 494-0940

Other identifiers 1

IdentifierTypeStateIssuer
054642900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0059615FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tarantola Dermatology Inc Dermatology CurrentSince Oct 1, 2022 Accepting new patients
Restore Plastic Surgery, P.a. Past Accepting new patients
Vital Dermatology LLC Dermatology PastSince Nov 1, 2019 Accepting new patients
Gulf Coast Plastic Surgery Center, LLC PastSince Dec 1, 2023 Accepting new patients
Cheryl S. Jones, MD Dermatology PastSince Jan 1, 1990 Accepting new patients

Locations

4624 N Davis Hwy
Ste 200
Pensacola, FL 32503
Phone (850) 439-5394

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00317

Organizations & group practices 5

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1588600795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 N DAVIS HWY STE 200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032337",
            "telephone_number": "850-494-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 N DAVIS HWY STE 200",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032337",
            "telephone_number": "850-494-0940",
            "fax_number": "850-696-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHERYL",
        "middle_name": "SANDOSKI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "0059615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054642900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.