Individual provider Active NPI

Pamela Marie Padilla, M.D.

  • Dermatology Physician
  • St Augustine, FL
National Provider Identifier
1881026581
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME141679 Issued in FL
Practice address
2155 Old Moultrie Rd Ste 204
St Augustine, FL 32086-5106
Phone
(904) 877-1300
Fax
(904) 506-2005
NPI assigned
Aug 5, 2013
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 ME141679 FL Primary

Addresses

Primary practice location

2155 Old Moultrie Rd Ste 204
St Augustine, FL 32086-5106

Mailing address

PO Box 13834
Tallahassee, FL 32317-3834
Phone (850) 205-6232

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
I20191003000618 FL Practitioner - Dermatology 3779851555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Florida College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

616 State Rd
Suite 13
Saint Johns, FL 32259-3871
Phone (850) 205-6232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.59 of 100Reported as group
Quality
100
Promoting interoperability
91
Improvement activities
40
Cost
72.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision198
Removal of tissue44
Removal of skin lesions4610
Removal of nail tissue1-10
Removal or shaving of skin growth283
Skin biopsy1371

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Tallahassee PA Dermatology CurrentSince Sep 30, 2019 Accepting new patients
Dermatology Associates of Tallahassee, PA Dermatology CurrentSince Sep 30, 2019 Accepting new patients
Compass Dermatopathology, Inc. Dermatology CurrentSince Jul 29, 2022 Accepting new patients

Locations

6605 Nancy Ridge Dr
San Diego, CA 92121
Phone (858) 750-2983

2155 Old Moultrie Rd
Ste 204
St Augustine, FL 32086
Phone (904) 877-1300

616 State Road 13 N
St Johns, FL 32259
Phone (850) 205-6232

616 State Road 13 N
Ste 8
St Johns, FL 32259
Phone (904) 512-1899

1707 Riggins Rd
Tallahassee, FL 32308
Phone (850) 205-6232

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1881026581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13834",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323173834",
            "telephone_number": "850-205-6232",
            "fax_number": "850-402-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 OLD MOULTRIE RD STE 204",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865106",
            "telephone_number": "904-877-1300",
            "fax_number": "904-506-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "PAMELA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME141679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.