Adam Scott Greenberg, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME75565 Issued in FL

Practice address

12497 Tamiami TRL S Ste 1
North Port, FL 34287-1415

Phone

(941) 282-3376

Fax

(941) 282-3378

NPI assigned

Sep 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL, WY2 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

Specialty

Dermatology

Education

Hahnemann University College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunshine State Dermatology and Skin Cancer Center IncGroup PAC ID 0244699387, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: asgskin@sunshinestatederm.emadirect.md

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.

• Sunshine State Dermatology and Skin Cancer Center Inc

  dba Sunshine State Dermatology and Skin Cancer Center

  • MOHS-Micrographic Surgery Physician
  • North Port, FL
  • NPI 1164122347

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• American Institute of Dermatology PA

  • Dermatology Physician
  • Sebring, FL
  • NPI 1861487795
  Medicare reassignment NPD
• Advanced Dermatology of Wyoming, Inc

  • Dermatology Physician
  • Jackson, WY
  • NPI 1427408319
  Medicare reassignment NPD

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1932193729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12497 TAMIAMI TRL S STE 1",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871415",
            "telephone_number": "941-282-3376",
            "fax_number": "941-282-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12497 TAMIAMI TRL S STE 1",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342871415",
            "telephone_number": "941-282-3376",
            "fax_number": "941-282-3378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 E Venice Ave",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342923064",
            "country_code": "US",
            "telephone_number": "941-282-3376",
            "fax_number": "941-282-3378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "ADAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME75565",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME75565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "921321379",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44796",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "070015729",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ross Grappin
• Au'Mari Gray
• Jana M Gray, PT, DPT
• Amanda Green
• Reannen Green
• Greene Rehab Services, P.a.
• Kayden Grey
• Tamara Grigaltchik
• Ovidiu Grigoras, M.D., PH.D.
• Grigory Pogrebinsky MD PA

• Dermatology Physician in North Port, FL
• Providers in North Port, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.