Macinnis Dermatology
NPI 1992035695 · MOHS-Micrographic Surgery Physician · Leesburg, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1992035695
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Colleen Macinnis, Owner(352) 350-5230
- License
- ME100399 (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
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
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
Additional practice locations (4)
- 4120 Corley Island RdSuite 600Leesburg, FL 34748-8292Phone: (352) 350-5230
- 4120 Corley Island RdSuite 600Leesburg, FL 34748-8292Phone: (352) 350-5230
- 17521 US Highway 27Suite 21Mt Dora, FL 32757-3275Phone: (352) 350-5230Fax: (352) 350-5230
- 1950 Laurel Manor Dr Ste 124The Villages, FL 32162-5602Phone: (352) 350-5230Fax: (866) 539-7193
Registry dates
- Enumerated
- 2010-01-04
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.