Organization Active NPI

Morgan Creek Dermatology

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1053001933
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MORGAN CREEK DERMATOLOGY
Practice address
6320 Quadrangle Dr Ste 180
Chapel Hill, NC 27517-7815
Phone
(919) 228-8238
Fax
(336) 348-0816
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Michelle Pearstein, MD
Title
Partner
Phone
(919) 228-8238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

6320 Quadrangle Dr Ste 180
Chapel Hill, NC 27517-7815

Mailing address

6320 Quadrangle Dr Ste 180
Chapel Hill, NC 27517-7815
Phone (919) 228-8238

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230926004460 NC Part B Supplier - Clinic/Group Practice 0446604359 Receives reassigned benefits from 3 practitioners
Practice locations: Chapel Hill, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2280340Morgan Creek Dermatology6320 Quadrangle Drive, Suite 180, Chapel Hill, NC 27517Provider-performed microscopyApr 17, 2027

National Provider Directory

National Provider Directory

Locations

6320 Quadrangle Dr
Ste 180
Chapel Hill, NC 27517
Phone (919) 228-8238

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00405

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1053001933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 QUADRANGLE DR STE 180",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177815",
            "telephone_number": "919-228-8238",
            "fax_number": "336-348-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 QUADRANGLE DR STE 180",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177815",
            "telephone_number": "919-228-8238",
            "fax_number": "336-348-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN CREEK DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "PEARSTEIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "919-228-8238",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.

Verify at the official NPI Registry.