Precision Dermatology and Skin Surgery PA
NPI 1336553619 · Dermatology Physician · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Precision Dermatology and Skin Surgery PA is a Dermatology Physician organization in Jacksonville, FL (NPI 1336553619).
Provider details
- NPI number
- 1336553619
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angie Hubbard, Manager(904) 716-5102
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-06-16
- Last updated
- 2021-06-30
- Certified
- 2021-06-30
Frequently asked questions
- What is Precision Dermatology and Skin Surgery PA's NPI number?
- Precision Dermatology and Skin Surgery PA's National Provider Identifier (NPI) is 1336553619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Precision Dermatology and Skin Surgery PA?
- Precision Dermatology and Skin Surgery PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Precision Dermatology and Skin Surgery PA located?
- Precision Dermatology and Skin Surgery PA's practice location on file with NPPES is 1550 Riverside Ave, Jacksonville, FL 32204-4161.
- What is Precision Dermatology and Skin Surgery PA's phone number?
- The practice phone number listed in the NPPES registry for Precision Dermatology and Skin Surgery PA is (904) 613-3966.
- Does Precision Dermatology and Skin Surgery PA accept Medicare?
- Precision Dermatology and Skin Surgery PA 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 Precision Dermatology and Skin Surgery PA?
- The authorized official listed on Precision Dermatology and Skin Surgery PA's NPPES record is Angie Hubbard, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Precision Dermatology and Skin Surgery PA's NPI active?
- Yes — Precision Dermatology and Skin Surgery PA's NPI (1336553619) is active in the NPPES registry as of the last update on 2021-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.