Vital Dermatology LLC
NPI 1386289585ActiveOrganization· Dermatology· Pensacola, FL
Dermatology in Pensacola, Florida, registered in NPPES in November 2019. The authorized official on file is Jenna Beasley, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386289585 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 12, 2019 |
| Last updated in NPPES | May 3, 2020 |
| Certified by provider | May 3, 2020 |
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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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