Carolina Skin & Vein Center Inc.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9600064 Issued in NC

Legal business name

CAROLINA SKIN & VEIN CENTER INC.

Practice address

1908 Eastwood Rd Ste 317
Wilmington, NC 28403-7235

Phone

(910) 509-4116

Fax

(910) 509-7566

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Cindy Lee George- Nixon

Title

Practice Administrator

Phone

(910) 778-1170

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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

• Lois Beard Martin, DO

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1679634018
  Medicare reassignment NPD
• Kirsten M Schneider, PA-C

  • Physician Assistant
  • Supply, NC
  • NPI 1245206341
  Medicare reassignment
• Tracey S Cloninger, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1164592275
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1114044682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 EASTWOOD RD STE 317",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037235",
            "telephone_number": "910-509-4116",
            "fax_number": "910-509-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 EASTWOOD RD STE 317",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284037235",
            "telephone_number": "910-509-4116",
            "fax_number": "910-509-7566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Oleander Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034723",
            "country_code": "US",
            "telephone_number": "910-509-4116",
            "fax_number": "910-509-7566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINA SKIN & VEIN CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "GEORGE- NIXON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-778-1170"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "9600064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8954150",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Mobility & Seating, Inc.
• Carolina Pediatric Rehabilitation Services, Inc.
• Carolina Pediatrics
• Carolina Pediatrics
• Carolina Prime Internal Medicine,PA
• Carolina Sports Medicine &Orthopaedic Specialists PA
• Carolina SZ, LLC
• Carolina Vision Associates, OD, PA
• Carolinas Fertility Institute, P.a.
• Carolinas Oral & Facial Surgery Center, Inc.

• Dermatology Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.