Absolute Dermatology P.C.
Organization Active NPI Dermatology Physician · Henrico, VA
NPI 1003440355 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1003440355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- ABSOLUTE DERMATOLOGY P.C.
- Practice address
- 1300 Wilkes Ridge Dr Ste 200
Henrico, VA 23233-7963 - Phone
- (804) 326-4448
- Fax
- (309) 326-4947
- NPI assigned
- Feb 26, 2020
- Organization subpart
- No
Authorized official
- Name
- William Spencer Gillen, MD
- Title
- Mohs Surgeon
- Phone
- (757) 897-5236
Practitioners 10
-
Alyssa Bower, PA-C
-
Shields Weaver Callahan, M.D.
-
Shannon Ann Chase, FNP
-
William Spencer Gillen, M.D.
-
Patricia W O'Connor, M.D.
-
Amanda Schmitt, M.D.
-
Nima Vahidi, MD
-
Elizabeth Brooke Hester, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2025069 | Absolute Dermatology PC | Compliance | Dec 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200519001063 | VA | Part B Supplier - Clinic/Group Practice | 6204267651 |
Receives reassigned benefits from 10 practitioners Practice locations: Chesterfield, VA; Glen Allen, VA; Richmond, VA |
National Provider Directory
Locations
7300 Ashlake Pkwy
Ste 102
Chesterfield, VA 23832
Phone (804) 326-4448
7300 Ashlake Pkwy
Ste 101
Chesterfield, VA 23832
1300 Wilkes Ridge Dr
Ste 201
Richmond, VA 23233
1300 Wilkes Ridge Dr
Ste 200
Richmond, VA 23233
Phone (804) 326-4448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes | ||
| MOHS-Micrographic Surgery Physician |
207ND0101X | |||
| Procedural Dermatology Physician |
207NS0135X |
Addresses
Primary practice location
1300 Wilkes Ridge Dr Ste 200
Henrico, VA 23233-7963
Mailing address
1206 Porter St Unit B
Richmond, VA 23224-2107
Phone (757) 897-5236
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All providers in Henrico, VA · Dermatology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.