Academic Alliance in Dermatology, PLLC
NPI 1538119722ActiveOrganization· Dermatology· Tampa, FL
Dermatology in Tampa, Florida, registered in NPPES in May 2006, part of Academic Alliance in Dermatology, PLLC. The authorized official on file is Nicole Proffitt, Director Of Enrollment & Credential. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1538119722 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Academic Alliance in Dermatology, PLLC |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Sep 14, 2026 |
| Certified by provider | Sep 14, 2026 |
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) |
|---|
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