Active NPI
Amy Elizabeth Devore, MD
- Dermatology Physician
- Mount Airy, NC
National Provider Identifier
1063559441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2006-00295
- Practice address
- 708 S South St Ste 100
Mount Airy, NC 27030-4589 - Phone
- (336) 698-4055
- Fax
- (336) 940-3038
- NPI assigned
- Feb 1, 2007
- Last updated
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2006-00295 | NC | Primary |
Addresses
Primary practice location
708 S South St Ste 100
Mount Airy, NC 27030-4589
Mailing address
708 S South St Ste 100
Mount Airy, NC 27030-4589
Phone (336) 698-4055
Other practice location 1
314 S South St
Suite 400
Mount Airy, NC 27030-4491
Phone (336) 789-4300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Florida College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
108 Dornach Way
Bermuda Run, NC 27006-7305
Phone (336) 940-2407
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.59 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 198 |
| Removal of skin lesions | 1348 |
| Skin biopsy | 511 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-00295 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davie Dermatology, P.a. | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients |
Locations
108 Dornach Way
Bermuda Run, NC 27006
Phone (336) 940-2407
708 S South St
Ste 100
Mount Airy, NC 27030
Phone (336) 698-4055
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Advance, NC
- NPI 1922060649
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
dba Wake Forest Baptist Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
dba Wake Forest Baptist Medical Center
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
dba Winston East Pediatrics
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1063559441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 S SOUTH ST STE 100",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304589",
"telephone_number": "336-698-4055",
"fax_number": "336-940-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S SOUTH ST STE 100",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304589",
"telephone_number": "336-698-4055",
"fax_number": "336-940-3038"
}
],
"practiceLocations": [
{
"address_1": "314 S South St",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Mount Airy",
"state": "NC",
"postal_code": "270304491",
"country_code": "US",
"telephone_number": "336-789-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVORE",
"first_name": "AMY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2006-00295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.