Alachua County Dermatology Inc
NPI 1194475046ActiveOrganization· Dermatology· Alachua, FL
Dermatology in Alachua, Florida, registered in NPPES in March 2022. The authorized official on file is Cora Hannon, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194475046 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 24, 2022 |
| Last updated in NPPES | Mar 24, 2022 |
| Certified by provider | Mar 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other Dermatology providers in Alachua
- 1164404018