Individual provider Active NPI

Marc Alan Darst, MD

  • Dermatology Physician
  • Charlotte, NC
National Provider Identifier
1144208158
Registry record updated Jan 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2008-00083 Issued in NC
Practice address
11301 Golf Links Dr N
Suite 203
Charlotte, NC 28277-8013
Phone
(704) 321-3376
Fax
(704) 541-6558
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35081826D OH
Emergency Medicine Physician 207P00000X 01039578 IN
Dermatopathology Physician 207ND0900X 35-081826 OH
Dermatology Physician 207N00000X 2008-00083 NC Primary
Dermatopathology Physician 207ND0900X 2008-00083 NC

Addresses

Primary practice location

11301 Golf Links Dr N
Suite 203
Charlotte, NC 28277-8013

Mailing address

PO Box 5304
Johnson City, TN 37602-5304
Phone (704) 321-3376

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
I20090514000316 NC Practitioner - DermatologyPractitioner - Other (Physician) 2365464369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Indiana University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Darst Dermatology PCGroup PAC ID 1850441908, 5 clinicians

Practice addresses (Care Compare)

11301 Golf Links Dr N
Suite 203
Charlotte, NC 28277-8014
Phone (704) 321-3376

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of skin lesions561
Removal of nail tissue1-10
Skin biopsy453

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081826DOHMDDermatology Physician
35-081826OHMDDermatopathology Physician
01039578INMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients
Charlotte Dermatopathology, Inc PastSince Mar 2, 2009 Accepting new patients
Dermatology Laser Surgery Center Inc Past Accepting new patients
Emergency Physicians of Community Hospital of Anderson Emergency Medicine Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJECBA/Endpoint/CJECBA
  • Direct secure messaging: marc.darst@dderm.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327708800000",
    "number": "1144208158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5304",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376025304",
            "telephone_number": "704-321-3376",
            "fax_number": "704-541-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 GOLF LINKS DR N",
            "address_2": "SUITE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778013",
            "telephone_number": "704-321-3376",
            "fax_number": "704-541-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARST",
        "first_name": "MARC",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2012-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35081826D",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01039578",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "OH",
            "license": "35-081826",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2008-00083",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NC",
            "license": "2008-00083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.