Jessica L Clark MD LLC
NPI 1184342578 · Dermatology Physician · Panama City Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessica L Clark MD LLC is a Dermatology Physician organization in Panama City Beach, FL (NPI 1184342578).
Provider details
- NPI number
- 1184342578
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raun Skyrm, Administrator(330) 256-0533
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-22
- Last updated
- 2022-08-22
- Certified
- 2022-08-21
Frequently asked questions
- What is Jessica L Clark MD LLC's NPI number?
- Jessica L Clark MD LLC's National Provider Identifier (NPI) is 1184342578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jessica L Clark MD LLC?
- Jessica L Clark MD LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Jessica L Clark MD LLC located?
- Jessica L Clark MD LLC's practice location on file with NPPES is 600 Grand Panama Blvd, Panama City Beach, FL 32407-3459.
- What is Jessica L Clark MD LLC's phone number?
- The practice phone number listed in the NPPES registry for Jessica L Clark MD LLC is (233) 767-4850.
- Does Jessica L Clark MD LLC accept Medicare?
- Jessica L Clark MD LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jessica L Clark MD LLC?
- The authorized official listed on Jessica L Clark MD LLC's NPPES record is Raun Skyrm, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jessica L Clark MD LLC's NPI active?
- Yes — Jessica L Clark MD LLC's NPI (1184342578) is active in the NPPES registry as of the last update on 2022-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.