Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather Kopecky

Individual provider Dermatology Physician · NPI 1922566249

Heather Kopecky is a Dermatology in Clearwater, Florida. Graduated from Col of Osteo Med of the Pacific at Lebanon in 2021, 5 years ago. Practices with Aqua Dermatology of Georgia PC, a 56-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Trained at
Col of Osteo Med of the Pacific at Lebanon
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

317 N Washington Ave
Clearwater, FL 33755-4628
Phone: (503) 459-6902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 103231 (GA)

Record details

NPI number1922566249
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2019
Last updated in NPPESMarch 27, 2025
Certification dateMarch 27, 2025
Mailing address317 N Washington Ave, Clearwater, FL 33755-4628

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolCOL OF OSTEO MED OF THE PACIFIC AT LEBANON
Graduated 2021 (5 years in practice)
Group practice Aqua Dermatology Of Georgia Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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