North Florida Dermatology LLC
NPI 1689023830 · Dermatology Physician · Lake City, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
North Florida Dermatology LLC is a Dermatology Physician organization in Lake City, FL (NPI 1689023830).
Provider details
- NPI number
- 1689023830
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelly Tepedino, Owner(386) 344-6102
- License
- ME122956 (FL)
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
10 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
- 2016-06-08
- Last updated
- 2024-03-07
- Certified
- 2024-03-07
Frequently asked questions
- What is North Florida Dermatology LLC's NPI number?
- North Florida Dermatology LLC's National Provider Identifier (NPI) is 1689023830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is North Florida Dermatology LLC?
- North Florida Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is North Florida Dermatology LLC located?
- North Florida Dermatology LLC's practice location on file with NPPES is 1722 Sw Newland Way, Lake City, FL 32025-6915.
- What is North Florida Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for North Florida Dermatology LLC is (386) 344-6102.
- Does North Florida Dermatology LLC accept Medicare?
- North Florida 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 North Florida Dermatology LLC?
- The authorized official listed on North Florida Dermatology LLC's NPPES record is Kelly Tepedino, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is North Florida Dermatology LLC's NPI active?
- Yes — North Florida Dermatology LLC's NPI (1689023830) is active in the NPPES registry as of the last update on 2024-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.