Atlantic Skin Surgery LLC
NPI 1942555289 · Surgery Physician · Port St Lucie, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Atlantic Skin Surgery LLC is a Surgery Physician organization in Port St Lucie, FL (NPI 1942555289).
Provider details
- NPI number
- 1942555289
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard James, Chief Operating Officer(772) 828-1907
- License
- ME66880 (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
13 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
- 2012-07-23
- Last updated
- 2012-07-23
Frequently asked questions
- What is Atlantic Skin Surgery LLC's NPI number?
- Atlantic Skin Surgery LLC's National Provider Identifier (NPI) is 1942555289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Atlantic Skin Surgery LLC?
- Atlantic Skin Surgery LLC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Atlantic Skin Surgery LLC located?
- Atlantic Skin Surgery LLC's practice location on file with NPPES is 176 Nw Magnolia Lakes Blvd, Port St Lucie, FL 34986-3567.
- What is Atlantic Skin Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Atlantic Skin Surgery LLC is (772) 828-1907.
- Does Atlantic Skin Surgery LLC accept Medicare?
- Atlantic Skin Surgery 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 Skin Surgery LLC?
- The authorized official listed on Atlantic Skin Surgery LLC's NPPES record is Richard James, Chief Operating Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Atlantic Skin Surgery LLC's NPI active?
- Yes — Atlantic Skin Surgery LLC's NPI (1942555289) is active in the NPPES registry as of the last update on 2012-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.