Individual provider Active NPI

Jeremy Alexander Sunseri, M.D.

  • MOHS-Micrographic Surgery Physician
  • Panama City, FL
National Provider Identifier
1831400100
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME120048 Issued in FL
Practice address
645 N Highway 231
Panama City, FL 32405-4704
Phone
(850) 215-3612
Fax
(850) 215-4533
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X ME120048 FL Primary

Addresses

Primary practice location

645 N Highway 231
Panama City, FL 32405-4704

Mailing address

2101 Jenks Ave
Panama City, FL 32405-4511
Phone (850) 215-3612

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
I20140924002100 FL Practitioner - Dermatology 0345469334 Reassigns benefits to 1 organization
I20160818000796 AL Practitioner - Dermatology 0345469334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Utah School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Dermatology LLCGroup PAC ID 2365722006, 3 clinicians

Practice addresses (Care Compare)

2432 W Main St
Suite 501
Dothan, AL 36301-1274
Phone (850) 215-3612

645 N Hwy 231
Panama City, FL 32405-4704
Phone (850) 215-3612

Merit-based Incentive Payment System (MIPS)

Final score
44.83 of 100Reported as individual
Quality
54.24
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision198
Removal of skin lesions311
Removal of skin cancer362
Removal of nail tissue1-10
Skin biopsy90

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Dermatology LLC Mohs-Micrographic Surgery CurrentSince May 2, 2016 Accepting new patients
Mustafa a Hammad MD PA CurrentSince Aug 14, 2016 Accepting new patients

Locations

2101 Jenks Ave
Panama City, FL 32405
Phone (850) 215-3612

645 N Highway 231
Panama City, FL 32405
Phone (850) 215-3612

Organizations & group practices 2

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1831400100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054511",
            "telephone_number": "850-215-3612",
            "fax_number": "850-215-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N HIGHWAY 231",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054704",
            "telephone_number": "850-215-3612",
            "fax_number": "850-215-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNSERI",
        "first_name": "JEREMY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME120048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.