NPIMap

Organization Active NPI

Onslow Ambulatory Services, Inc.

Doing business as Central Coast Dermatology

  • Dermatology Physician
  • Jacksonville, NC
National Provider Identifier
1033306279
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2007-01406 Issued in NC
Legal business name
ONSLOW AMBULATORY SERVICES, INC.
Doing business as
Central Coast Dermatology
Practice address
215B Station St
Jacksonville, NC 28546-6304
Phone
(910) 577-2334
Fax
(910) 577-2363
NPI assigned
Oct 2, 2007
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carl Biber
Title
Chief Financial Officer
Phone
(910) 577-2969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2007-01406 NC Primary

Addresses

Primary practice location

215B Station St
Jacksonville, NC 28546-6304

Mailing address

200 Memorial Dr
Jacksonville, NC 28546-6332
Phone (910) 577-4703

Other names 1

  • Central Coast Dermatology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccdderm@direct.onslowmemorial.nchie.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071208000028 NC Part B Supplier - Clinic/Group Practice 4587569256 Receives reassigned benefits from 21 practitioners
7 other NPIs on this enrollment
Practice locations: Jacksonville, NC

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

200 Memorial Dr
Jacksonville, NC 28546
Phone (910) 577-2900

215 Station St
#B
Jacksonville, NC 28546

215B Station St
Jacksonville, NC 28546
Phone (910) 455-8669

Interoperability endpoints

  • Direct secure messaging: ccdderm@direct.onslowmemorial.nchie.net

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1033306279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466332",
            "telephone_number": "910-577-4703",
            "fax_number": "910-577-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215B STATION ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466304",
            "telephone_number": "910-577-2334",
            "fax_number": "910-577-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSLOW AMBULATORY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "BIBER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "910-577-2969"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2007-01406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccdderm@direct.onslowmemorial.nchie.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "215B Station St",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285466304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Central Coast Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Coast Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.