Individual provider Active NPI

Jonathan Stuart Crane, D.O.

  • Dermatology Physician
  • Wilmington, NC
National Provider Identifier
1134187594
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
034583 Issued in NC
Practice address
1099 Medical Center Dr Ste 201
Wilmington, NC 28401-7346
Phone
(910) 251-9944
Fax
(910) 763-4666
NPI assigned
May 3, 2006
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 034583 NC Primary
Dermatology Physician 207N00000X 34583 NC

Addresses

Primary practice location

1099 Medical Center Dr Ste 201
Wilmington, NC 28401-7346

Mailing address

1099 Medical Center Dr Ste 201
Wilmington, NC 28401-7346
Phone (910) 251-9944

Other practice location 1

417 Vance St
Clinton, NC 28328-4001
Phone (910) 251-9944

Other practice location 2

308 S Bennett St
Burgaw, NC 28425-5048
Phone (910) 251-9944

Other practice location 3

720 Jefferson St
Whiteville, NC 28472-3706
Phone (910) 251-9944

Other identifiers 1

IdentifierTypeStateIssuer
1134187594OtherNCNPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071102000657 NC Practitioner - Dermatology 9234029406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Dermatology PAGroup PAC ID 7012971609, 52 clinicians

Practice addresses (Care Compare)

1099 Medical Ctr Dr
Unit 200300
Wilmington, NC 28401-7346
Phone (910) 251-9944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision165
Removal of skin lesions600
Removal or shaving of skin growth21
Skin biopsy327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
034583NCMDDermatology Physician
34583NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Dermatology, P.a. CurrentSince Nov 15, 2021 Accepting new patients
Anne Arundel Dermatology Affiliates PC Dermatology Past Accepting new patients

Locations

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

308 S Bennett St
Burgaw, NC 28425
Phone (910) 259-8001

417 Vance St
Fl 2
Clinton, NC 28328

4201 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 782-2152

5272 Ocean Hwy W
Shallotte, NC 28470
Phone (888) 501-5597

720 Jefferson St
Whiteville, NC 28472
Phone (910) 642-5832

1099 Medical Center Dr
Ste 200
Wilmington, NC 28401

1099 Medical Center Dr
Ste 201
Wilmington, NC 28401
Phone (910) 251-9444

123 Fox Rd
Knoxville, TN 37922
Phone (865) 342-5811

Interoperability endpoints

  • Direct secure messaging: jcrane@aadermaffiliates.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1134187594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017346",
            "telephone_number": "910-251-9944",
            "fax_number": "910-763-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER DR STE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017346",
            "telephone_number": "910-251-9944",
            "fax_number": "910-763-4666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Vance St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283284001",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "fax_number": "910-763-4666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 S Bennett St",
            "address_purpose": "LOCATION",
            "city": "Burgaw",
            "state": "NC",
            "postal_code": "284255048",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "fax_number": "910-763-4666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723706",
            "country_code": "US",
            "telephone_number": "910-251-9944",
            "fax_number": "910-763-4666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRANE",
        "first_name": "JONATHAN",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "034583",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "34583",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134187594",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.