Southeastern Dermatology Group PA
NPI 1518972231 · Dermatology Physician · Panama City, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeastern Dermatology Group PA is a Dermatology Physician organization in Panama City, FL (NPI 1518972231).
Provider details
- NPI number
- 1518972231
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon Ward, President(850) 233-3376
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
19 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
Other names (DBA / former)
- Doing business as
- Dermatology Specialists
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2024-03-21
- Certified
- 2024-03-21
Frequently asked questions
- What is Southeastern Dermatology Group PA's NPI number?
- Southeastern Dermatology Group PA's National Provider Identifier (NPI) is 1518972231, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Dermatology Group PA?
- Southeastern Dermatology Group PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Southeastern Dermatology Group PA located?
- Southeastern Dermatology Group PA's practice location on file with NPPES is 2505 Harrison Ave, Panama City, FL 32405-4423.
- What is Southeastern Dermatology Group PA's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Dermatology Group PA is (850) 233-3376.
- Does Southeastern Dermatology Group PA accept Medicare?
- Southeastern Dermatology Group 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 Southeastern Dermatology Group PA?
- The authorized official listed on Southeastern Dermatology Group PA's NPPES record is Jon Ward, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Dermatology Group PA's NPI active?
- Yes — Southeastern Dermatology Group PA's NPI (1518972231) is active in the NPPES registry as of the last update on 2024-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.