Charlotte Dermatology PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHARLOTTE DERMATOLOGY PA

Practice address

2630 E 7TH St
200
Charlotte, NC 28204-4318

Phone

(704) 927-6166

Fax

(704) 364-4845

NPI assigned

Jun 17, 2006

Last updated

Mar 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gary Slaughter, MDNPI 1770522328

Title

Partner

Phone

(704) 927-6160

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gary B Slaughter, MD

  • Specialist
  • Charlotte, NC
  • NPI 1770522328
  Medicare reassignment NPD Authorized official
• Coleman Eric Altman, D.O.

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1003806928
  Medicare reassignment NPD
• Michael A. Asbury, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1942483425
  Medicare reassignment NPD
• Melissa Dedmond Boothe, RN, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1023298163
  Medicare reassignment NPD
• Jenna Byrne, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1871190942
  Medicare reassignment NPD
• Haibo Cheng, PA-C

  • Physician Assistant
  • Clinton, NC
  • NPI 1497488241
  Medicare reassignment NPD
• Samantha Starkey D'Alessandro, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1740647783
  Medicare reassignment NPD
• Jordann Elizabeth Deacon, PA-C

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1942939392

  Single Specialty

  Medicare reassignment NPD
• Hazem M El-Gamal, MD

  • MOHS-Micrographic Surgery Physician
  • Charlotte, NC
  • NPI 1720027246

  Dermatology

  Medicare reassignment NPD
• Samantha Dare Gulledge, PA

  • Physician Assistant
  • Wilmington, NC
  • NPI 1740991504
  Medicare reassignment NPD
• Jacqueline Ellen Leyrer, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1902415532
  Medicare reassignment NPD
• Lauren Matthews, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1699405100

  Dermatology

  Medicare reassignment NPD

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1265477251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60800",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600800",
            "telephone_number": "704-927-6166",
            "fax_number": "704-364-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 E 7TH ST",
            "address_2": "200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044318",
            "telephone_number": "704-927-6166",
            "fax_number": "704-364-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "704-927-6160",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Counseling and Consulting, PLLC
• Charlotte Counseling and Wellness Center, PLLC
• Charlotte Counseling and Wellness, PLLC
• Charlotte Counseling Associates, PLLC
• Charlotte Counseling Group
• Charlotte Dermatopathology, Inc
• Charlotte Detox Center, LLC
• Charlotte Detox Center, LLC
• Charlotte Emergency Dental Clinic
• Charlotte Eye Ear Nose & Throat Associates, P.a.

• Dermatology Physician in Charlotte, NC
• Providers in Charlotte, 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 Mar 6, 2008; 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.