Individual provider Active NPI

Lakimerly Michelle Coates, MD

  • Dermatology Physician
  • Morgantown, WV
National Provider Identifier
1871576264
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
36829 Issued in WV
Practice address
165 Scott Ave Ste 100
Morgantown, WV 26508-8847
Phone
(715) 531-5650
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 036102903 IL
Dermatopathology Physician 207ND0900X 2026-02304 NC
Procedural Dermatology Physician 207NS0135X 036102903 IL
Dermatology Physician 207N00000X 36829 WV Primary
Dermatology Physician 207N00000X C199443 CA
MOHS-Micrographic Surgery Physician 207ND0101X 036102903 IL
Dermatology Physician 207N00000X 036102903 IL

Addresses

Primary practice location

165 Scott Ave Ste 100
Morgantown, WV 26508-8847

Mailing address

PO Box 746768
Atlanta, GA 30374-6768

Other practice location 1

4338 Morsay Dr
Rockford, IL 61107-4877
Phone (815) 399-6400

Other practice location 2

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911

Other practice location 3

719 Green Valley Rd Ste 306
Greensboro, NC 27408-7026
Phone (336) 890-2110

Other identifiers 4

IdentifierTypeStateIssuer
10132043OtherILBCBS
36829OtherWVWEST VIRGINIA BOARD OF MEDICINE
036102903MedicaidIL
14D1043269OtherILCLIA

Other names 1

  • Dr. Lakimerly Michelle Woods-Coates Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070419000689 IL Practitioner - Dermatology 1557465630 Reassigns benefits to 2 organizations
I20250318001684 CA Practitioner - Dermatology 1557465630 Reassigns benefits to 1 organization
I20260423000432 AL Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1557465630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Alabama PCGroup PAC ID 9436211463, 42 clinicians

Practice addresses (Care Compare)

4338 Morsay Dr
Rockford, IL 61107-4877
Phone (815) 399-6400

8832 US Hwy 90
Daphne, AL 36526-8932
Phone (251) 544-6411

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions247
Removal of skin cancer1-10
Removal or shaving of skin growth37
Skin biopsy83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C199443CAMDDermatology Physician
036102903ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soderstrom Dermatology Center S C Dermatology CurrentSince Sep 19, 2024 Accepting new patients
Eisenhower Medical Center CurrentSince Apr 1, 2025 Accepting new patients
Soderstrom Dermatology Center S C CurrentSince Sep 19, 2024 Accepting new patients
Eisenhower Medical Center Current Accepting new patients
Rockford Dermatology SC Dermatology CurrentSince Dec 9, 2002 Accepting new patients
Eisenhower Medical Center CurrentSince Apr 1, 2025 Accepting new patients

Locations

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

410 Maxine Dr
Morton, IL 61550
Phone (309) 263-7546

4909 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 674-7546

4338 Morsay Dr
Rockford, IL 61107
Phone (815) 397-8500

Organizations & group practices 7

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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1871576264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746768",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SCOTT AVE STE 100",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088847",
            "telephone_number": "715-531-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4338 Morsay Dr",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611074877",
            "country_code": "US",
            "telephone_number": "815-399-6400",
            "fax_number": "815-399-4424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-3911",
            "fax_number": "760-773-1239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 Green Valley Rd Ste 306",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087026",
            "country_code": "US",
            "telephone_number": "336-890-2110",
            "fax_number": "336-890-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATES",
        "first_name": "LAKIMERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036102903",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NC",
            "license": "2026-02304",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036102903",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "36829",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C199443",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036102903",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036102903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10132043",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA BOARD OF MEDICINE",
            "identifier": "36829",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102903",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D1043269",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKIMERLY",
            "last_name": "WOODS-COATES",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.