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

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

Other identifiers 1

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.

• Gary B Slaughter, MD

  • Specialist
  • Charlotte, NC
  • NPI 1770522328

  NC

  Medicare reassignment NPD Authorized official
• Coleman Eric Altman, D.O.

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1003806928

  Dermatology, NC

  Medicare reassignment NPD
• Hazem M El-Gamal, MD

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

  Dermatology, NC

  Medicare reassignment NPD
• Joanne Kelly Simpson, MD, MPH

  • Dermatology Physician
  • Salisbury, NC
  • NPI 1184746455

  Dermatology, NC

  Medicare reassignment NPD
• Stephen Hammond, M.D

  • Dermatopathology Physician
  • Myrtle Beach, SC
  • NPI 1851553523

  NC

  Medicare reassignment NPD
• Michael A. Asbury, PA

  • Physician Assistant
  • Charlotte, NC
  • NPI 1942483425

  NC

  Medicare reassignment
• Melissa Dedmond Boothe, RN, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1023298163

  NC

  Medicare reassignment
• Jenna Byrne, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1871190942

  NC

  Medicare reassignment
• Haibo Cheng, PA-C

  • Physician Assistant
  • Clinton, NC
  • NPI 1497488241

  NC

  Medicare reassignment
• Samantha Starkey D'Alessandro, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1740647783

  NC

  Medicare reassignment
• Jordann Elizabeth Deacon, PA-C

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1942939392

  NC

  Medicare reassignment
• Samantha Dare Gulledge, PA

  • Physician Assistant
  • Wilmington, NC
  • NPI 1740991504

  NC

  Medicare reassignment

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0467",
            "state": "NC"
        }
    ],
    "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.

• All providers in Charlotte, NC
• 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.