Active NPI
Arianne E Chavez, MD
- MOHS-Micrographic Surgery Physician
- Saint Johns, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- ME108401
- Practice address
- 616 State Road 13
St. Johns, FL 32259-3871 - Phone
- (850) 877-4134
- Fax
- (850) 402-9130
- NPI assigned
- Jun 9, 2008
- Last updated
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME108401 | FL | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | ME108401 | FL | Primary |
| Procedural Dermatology Physician | 207NS0135X | ME108401 | FL |
Addresses
Primary practice location
616 State Road 13
St. Johns, FL 32259-3871
Mailing address
PO Box 13859
Tallahassee, FL 32317-3859
Phone (850) 205-6232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE6922 | Other | FL | RR MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Washington University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
425 W 19TH St D
Panama City, FL 32405-4631
Phone (850) 877-4134
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.59 of 100
- Quality
- 100
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 72.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 316 |
| Removal of tissue | 264 |
| Removal of skin lesions | 999 |
| Removal of skin cancer | 1632 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 23 |
| Skin biopsy | 574 |
National Provider Directory
National Provider Directory- 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME108401 | FL | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of Tallahassee PA | Dermatology | Current | Accepting new patients |
| Thacker Dermatology LLC | Dermatology | Current | Accepting new patients |
Locations
425 W 19th St
Ste D
Panama City, FL 32405
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
4233 Camelot Xing
Valdosta, GA 31602
Phone (229) 469-4383
Interoperability endpoints
- afrazier@dat1977.srs-direct.com
- afrazier@dermse.emadirect.md
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Tallahassee, FL
- NPI 1295842672
-
- Dermatology Physician
- Valdosta, GA
- NPI 1326347238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1972762565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13859",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323173859",
"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": "616 STATE ROAD 13",
"city": "ST. JOHNS",
"state": "FL",
"postal_code": "322593871",
"telephone_number": "850-877-4134",
"fax_number": "850-402-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "ARIANNE",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-09",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME108401",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "FL",
"license": "ME108401",
"primary": true
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "FL",
"license": "ME108401",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DE6922",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.