Active NPI
Carolina Skin Institute, P.a
- MOHS-Micrographic Surgery Physician
- Brevard, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- Legal business name
- CAROLINA SKIN INSTITUTE, P.A
- Practice address
- 89 Hospital Dr Ste a-Up1
Brevard, NC 28712-4837 - Phone
- (828) 570-5505
- Fax
- (828) 259-2581
- NPI assigned
- Jan 28, 2025
- Last updated
- Jan 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Myracle, MD
- Title
- Owner
- Phone
- (828) 570-5505
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| MOHS-Micrographic Surgery Physician | 207ND0101X | Primary |
Addresses
Primary practice location
89 Hospital Dr Ste a-Up1
Brevard, NC 28712-4837
Mailing address
89 Hospital Dr Ste a-Up1
Brevard, NC 28712-4837
Phone (828) 570-5505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2320011 | Carolina Skin Institute, PA | Registration | Mar 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
89 Hospital Dr
Ste AUP1
Brevard, NC 28712
Phone (828) 570-5505
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Nurse Practitioner
- Highlands, NC
- NPI 1508349192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1033922737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 HOSPITAL DR STE A-UP1",
"city": "BREVARD",
"state": "NC",
"postal_code": "287124837",
"telephone_number": "828-570-5505",
"fax_number": "828-259-2581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 HOSPITAL DR STE A-UP1",
"city": "BREVARD",
"state": "NC",
"postal_code": "287124837",
"telephone_number": "828-570-5505",
"fax_number": "828-259-2581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA SKIN INSTITUTE, P.A",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-28",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "MYRACLE",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-570-5505",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brevard, NC
- Carepartners HHA, LLLP (CarePartners Home Care & Hospice)
- Carepartners HHA, LLLP (CarePartners Hospice & Palliative Care Services)
- Carepartners HHA, LLLP (CarePartners Home Care and Hospice)
- Janna Barton Carlson
- Carolina Oral & Facial Surgery
- Carolina Spine & Neurosurgery Center PA
- Carolina Spine&Neurosurgery Center PA
- Gregory Edward Carter, MD
- Anna Katherine Cascio, ND
- Karen O'Neill Casey, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.