Atlantic Dermatology LLC
NPI 1306957378 · Procedural Dermatology Physician · Cocoa Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Atlantic Dermatology LLC is a Procedural Dermatology Physician organization in Cocoa Beach, FL (NPI 1306957378).
Provider details
- NPI number
- 1306957378
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristin Smallwood, President(321) 784-8811
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-08-31
- Last updated
- 2025-09-11
Frequently asked questions
- What is Atlantic Dermatology LLC's NPI number?
- Atlantic Dermatology LLC's National Provider Identifier (NPI) is 1306957378, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlantic Dermatology LLC?
- Atlantic Dermatology LLC is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Atlantic Dermatology LLC located?
- Atlantic Dermatology LLC's practice location on file with NPPES is 1980 N Atlantic Ave, Cocoa Beach, FL 32931-5213.
- What is Atlantic Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Atlantic Dermatology LLC is (321) 784-8811.
- Does Atlantic Dermatology LLC accept Medicare?
- Atlantic Dermatology 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 Atlantic Dermatology LLC?
- The authorized official listed on Atlantic Dermatology LLC's NPPES record is Kristin Smallwood, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlantic Dermatology LLC's NPI active?
- Yes — Atlantic Dermatology LLC's NPI (1306957378) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.