Individual provider Active NPI

Chelsy Marty, M.D.

  • Dermatology Physician
  • Jacksonville, FL
National Provider Identifier
1639240872
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME85647 Issued in FL
Practice address
8075 Gate Pkwy W Ste 201
Jacksonville, FL 32216-3685
Phone
(904) 279-8202
Fax
(904) 279-8248
NPI assigned
Nov 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 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 ME85647 FL Primary

Addresses

Primary practice location

8075 Gate Pkwy W Ste 201
Jacksonville, FL 32216-3685

Mailing address

8075 Gate Pkwy W Ste 201
Jacksonville, FL 32216-3685
Phone (904) 279-8202

Other identifiers 1

IdentifierTypeStateIssuer
47975YOtherFLMEDICARE

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
I20071129000328 FL Practitioner - Dermatology 2668497884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Dakota School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricia R Andrews M D PLGroup PAC ID 9830289818, 4 clinicians

Practice addresses (Care Compare)

8075 Gate Pkwy W
Suite 201
Jacksonville, FL 32216-3685
Phone (904) 279-8202

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions982
Removal or shaving of skin growth1-10
Skin biopsy258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85647FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tricia R Andrews M D PL Dermatology CurrentSince Jul 1, 2025 Accepting new patients
First Coast Dermatology and Internal Medicine P a Dermatology CurrentSince Feb 8, 2010 Accepting new patients
Douglas K Pierce MD PA Past Accepting new patients
Rachel Ness M.D., PLLC Dermatology Past Accepting new patients

Locations

8075 Gate Pkwy W
Ste 201
Jacksonville, FL 32216
Phone (904) 279-8202

3200 3rd St S
Ste 200
Jax Bch, FL 32250
Phone (904) 249-6110

Organizations & group practices 4

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1639240872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163685",
            "telephone_number": "904-279-8202",
            "fax_number": "904-279-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 GATE PKWY W STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163685",
            "telephone_number": "904-279-8202",
            "fax_number": "904-279-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTY",
        "first_name": "CHELSY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME85647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "47975Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.