Individual provider Active NPI

Daniel J Pearce, M.D.

  • MOHS-Micrographic Surgery Physician
  • Winston Salem, NC
National Provider Identifier
1245415132
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
200400729 Issued in NC
Practice address
1450 Professional Park Dr
Suite 150
Winston Salem, NC 27103-1300
Phone
(336) 724-2434
Fax
(336) 716-6761
NPI assigned
Jan 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 200400729 NC Primary

Addresses

Primary practice location

1450 Professional Park Dr
Suite 150
Winston Salem, NC 27103-1300

Mailing address

1450 Professional Park Dr
Suite 150
Winston Salem, NC 27103-1300
Phone (336) 724-2434

Other identifiers 1

IdentifierTypeStateIssuer
5909608MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080717000603 NC Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6103999594 Reassigns benefits to 1 organization
I20250424002613 VA Practitioner - Dermatology 6103999594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Wake Forest University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

1450 Professional Park Dr
Winston Salem, NC 27103-1300
Phone (336) 724-2434

312 Fairy St Ext
Suite 201
Martinsville, VA 24112-1912
Phone (273) 632-6496

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision127
Removal of skin lesions43
Removal of skin cancer819
Removal or shaving of skin growth1-10
Skin biopsy38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200400729NCMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA Mohs-Micrographic Surgery CurrentSince May 13, 2015 Accepting new patients
Skin Surgery Center PA CurrentSince May 13, 2015 Accepting new patients

Locations

3107 Brassfield Rd
Greensboro, NC 27410
Phone (336) 545-8133

3107 Brassfield Rd
Ste 300
Greensboro, NC 27410
Phone (336) 545-8133

1640 Campus Park Dr
Ste Ab
Monroe, NC 28112
Phone (704) 289-9448

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

1450 Professional Park Dr
Ste 100
Winston Salem, NC 27103

1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone (336) 724-2434

974 E Stuart Dr
Ste C
Galax, VA 24333
Phone (276) 238-9902

312 Fairy Street Ext
Ste 201
Martinsville, VA 24112
Phone (276) 632-6496

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1245415132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 PROFESSIONAL PARK DR",
            "address_2": "SUITE 150",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031300",
            "telephone_number": "336-724-2434",
            "fax_number": "336-716-6761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PROFESSIONAL PARK DR",
            "address_2": "SUITE 150",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031300",
            "telephone_number": "336-724-2434",
            "fax_number": "336-716-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-09",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "200400729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909608",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.