Carol Jeanne Sims-Robertson, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

431047892 Issued in MI

Practice address

2100 Dr Martin Luther King Jr St N
Divine Dermatology PLLC
St Petersburg, FL 33704-3264

Phone

(727) 528-0321

Fax

(727) 498-6632

NPI assigned

Jul 27, 2006

Reactivated

May 15, 2026

Last updated

May 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Ms. Carol Jeanne Sims Professional name

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

Specialty

Dermatology

Education

University of California, San Francisco School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Divine Dermatology PLLCGroup PAC ID 0547255101, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.98 of 100Reported as individual

Quality

97.97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Divine Dermatology PLLC

  dba Prime Dermatology

  • Dermatology Physician
  • St Petersburg, FL
  • NPI 1508976010
  Medicare reassignment Care Compare group NPD
• Khaled H El-Hoshy MD PC

  dba Somerset Dermatology Institute

  • Dermatology Physician
  • Livonia, MI
  • NPI 1023042769
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1689688830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 DR MARTIN LUTHER KING JR ST N",
            "address_2": "DIVINE DERMATOLOGY PLLC",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043264",
            "telephone_number": "727-528-0321",
            "fax_number": "727-498-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DR MARTIN LUTHER KING JR ST N",
            "address_2": "DIVINE DERMATOLOGY PLLC",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043264",
            "telephone_number": "727-528-0321",
            "fax_number": "727-498-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS-ROBERTSON",
        "first_name": "CAROL",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-05-15",
        "deactivation_date": "2026-04-20",
        "reactivation_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME87149",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "431047892",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G65165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "SIMS",
            "middle_name": "JEANNE",
            "prefix": "MS.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Simply Flourish Therapy, PLLC
• Deborah Jane Simpson
• Hillary Simpson
• Rebecca Marie Simpson, PA-C
• Tesha Tan Simpson, APRN
• Andel Arun Sinanan
• Aramis Pourri Sinclair
• Charyse J Sindler, MD
• Jacqueline Michele Sineway, PT, DPT, WCS
• Benjamin Robert Singer, APRN

• Dermatology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.

Verify at the official NPI Registry.