Organization Active NPI

Trillium Clinic

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1093419566
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TRILLIUM CLINIC
Practice address
100 Timberhill PL Unit 110
Chapel Hill, NC 27514-1962
Phone
(919) 710-8100
Fax
(919) 747-3999
NPI assigned
Mar 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Dr. Stefan Craig Weiss, MDNPI 1578641387
Title
President
Phone
(919) 710-8100

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X
Dermatopathology (Pathology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZD0900X

Addresses

Primary practice location

100 Timberhill PL Unit 110
Chapel Hill, NC 27514-1962

Mailing address

PO Box 2288
Chapel Hill, NC 27515-2288
Phone (919) 710-8100

Other practice location 1

332 N Brightleaf Blvd Ste C
Smithfield, NC 27577-4604
Phone (919) 710-8100

Other practice location 2

2961 Crouse Ln Ste A
Burlington, NC 27215-8833
Phone (919) 710-8100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230531002494 NC Part B Supplier - Clinic/Group Practice 5890152169 Receives reassigned benefits from 2 practitioners
Practice locations: Burlington, NC; Smithfield, NC; 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
34D2286237Trillium Clinic, PLLC100 Timberhill Place, #110, Chapel Hill, NC 27514RegistrationMay 31, 2028

National Provider Directory

National Provider Directory

Locations

2961 Crouse Ln
#A
Burlington, NC 27215
Phone (336) 586-9799

100 Timberhill Pl
Unit 110
Chapel Hill, NC 27514
Phone (919) 710-8100

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": "1680048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1093419566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2288",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275152288",
            "telephone_number": "919-710-8100",
            "fax_number": "919-747-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TIMBERHILL PL UNIT 110",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141962",
            "telephone_number": "919-710-8100",
            "fax_number": "919-747-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 N Brightleaf Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774604",
            "country_code": "US",
            "telephone_number": "919-710-8100",
            "fax_number": "919-747-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2961 Crouse Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272158833",
            "country_code": "US",
            "telephone_number": "919-710-8100",
            "fax_number": "919-747-3999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRILLIUM CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-29",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-710-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 19, 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.

Verify at the official NPI Registry.