Parks Dermatology Center LLC
NPI 1629063680 · Dermatology Physician · Ormond Beach, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Parks Dermatology Center LLC is a Dermatology Physician organization in Ormond Beach, FL (NPI 1629063680).
Provider details
- NPI number
- 1629063680
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Parks, President(386) 677-9044
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
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
- 2005-09-15
- Last updated
- 2017-04-12
Frequently asked questions
- What is Parks Dermatology Center LLC's NPI number?
- Parks Dermatology Center LLC's National Provider Identifier (NPI) is 1629063680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Parks Dermatology Center LLC?
- Parks Dermatology Center LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Parks Dermatology Center LLC located?
- Parks Dermatology Center LLC's practice location on file with NPPES is 400 Lakebridge Plaza Dr, Ormond Beach, FL 32174-5157.
- What is Parks Dermatology Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Parks Dermatology Center LLC is (386) 677-9044.
- Does Parks Dermatology Center LLC accept Medicare?
- Parks Dermatology Center 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 Parks Dermatology Center LLC?
- The authorized official listed on Parks Dermatology Center LLC's NPPES record is Jeffrey Parks, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Parks Dermatology Center LLC's NPI active?
- Yes — Parks Dermatology Center LLC's NPI (1629063680) is active in the NPPES registry as of the last update on 2017-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.