Andrew John Krispinsky

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2023-02112 Issued in NC

Practice address

243 Jones Cove Rd
Clyde, NC 28721-9483

Phone

(828) 627-9616

NPI assigned

Jan 14, 2013

Last updated

Jun 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, TN2 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

Specialty

Dermatology

Education

Saint Louis University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathology Associates of St ThomasGroup PAC ID 2769462845, 11 clinicians

Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Skin Surgery Center PA

  • Dermatology Physician
  • Winston Salem, NC
  • NPI 1649237082
  Medicare reassignment Care Compare group NPD
• Pathology Associates of St. Thomas

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
  • NPI 1073585774

  Dermatology

  Medicare reassignment Care Compare group NPD
• Patterson Dermatology, PC

  dba Current Dermatology

  • Dermatology Physician
  • Sylva, NC
  • NPI 1205456290
  Medicare reassignment NPD
• Skin Surgery Center PA

  dba The Skin Surgery Center of Charleston

  • MOHS-Micrographic Surgery Physician
  • Mount Pleasant, SC
  • NPI 1851810279
  NPD

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1306183058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BONNIE LN",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287798511",
            "telephone_number": "286-311-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 JONES COVE RD",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287219483",
            "telephone_number": "828-627-9616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 Bonnie Ln",
            "address_purpose": "LOCATION",
            "city": "Sylva",
            "state": "NC",
            "postal_code": "287798511",
            "country_code": "US",
            "telephone_number": "828-631-1852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISPINSKY",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NC",
            "license": "2023-02112",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101256702",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2023-02112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen L Kinser, MD
• Randi Lauren Kinsland-Tatham, M.S. CCCS-SLP
• Justin Kirsch, OTR/L
• John C Kish, PA
• Alyssa Michelle Kraynie, M.D.
• Michael James Kushner, MD
• John Anthony Lafata, DO
• Garrett Lagan, LCSW, LCAS
• James Lapkoff, MD
• Alexandria Paige Potratz Lee, AU.D

• Dermatology Physician in Clyde, NC
• Providers in Clyde, 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 Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.