Individual provider Active NPI

James Brewster Caldwell, DO

  • MOHS-Micrographic Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1639186513
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
OS7111 Issued in FL
Practice address
2433 Mahan Dr
Tallahassee, FL 32308
Phone
(850) 219-8811
Fax
(850) 219-8883
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 OS7111 FL
MOHS-Micrographic Surgery Physician 207ND0101X OS7111 FL Primary

Addresses

Primary practice location

2433 Mahan Dr
Tallahassee, FL 32308

Mailing address

2433 Mahan Dr
Tallahassee, FL 32308
Phone (850) 219-8811

Other identifiers 1

IdentifierTypeStateIssuer
57287OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040405001330 FL Practitioner - Dermatology 4789677949 Reassigns benefits to 1 organization
I20230425000563 AL Practitioner - Dermatology 4789677949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Advanced Care, P.a.Group PAC ID 0840283099, 3 clinicians

Practice addresses (Care Compare)

2433 Mahan Dr
Tallahassee, FL 32308-5329
Phone (850) 219-8811

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of tissue1-10
Removal of skin lesions798
Removal of skin cancer251
Removal or shaving of skin growth13
Skin biopsy528

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS7111FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Advanced Care, P.a. Dermatology CurrentSince Mar 19, 2003 Accepting new patients

Locations

3400 Ross Clark Cir
Dothan, AL 36303
Phone (334) 679-7974

2433 Mahan Dr
Tallahassee, FL 32308
Phone (850) 219-8811

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639186513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-219-8811",
            "fax_number": "850-219-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2433 MAHAN DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-219-8811",
            "fax_number": "850-219-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "JAMES",
        "middle_name": "BREWSTER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS7111",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "OS7111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "57287",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.