North Carolina Center for Dermatology PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9400629 Issued in NC

Legal business name

NORTH CAROLINA CENTER FOR DERMATOLOGY PA

Practice address

6216 Fayetteville Rd
Suite 102
Durham, NC 27713-6287

Phone

(919) 484-9551

Fax

(919) 484-0667

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Wellington Scales, M.D.NPI 1497818397

Title

Physician

Phone

(919) 484-9551

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Wellington Scales, M.D.

  • Dermatology Physician
  • Durham, NC
  • NPI 1497818397
  Medicare reassignment NPD Authorized official
• Cheryl Jackson, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Chapel Hill, NC
  • NPI 1831289586
  NPD (past)
• Ketoyia Newkirk, PA-C

  • Physician Assistant
  • Wallace, NC
  • NPI 1588790109
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1326101262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD",
            "address_2": "SUITE 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136287",
            "telephone_number": "919-484-9551",
            "fax_number": "919-484-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6216 FAYETTEVILLE RD",
            "address_2": "SUITE 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136287",
            "telephone_number": "919-484-9551",
            "fax_number": "919-484-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CAROLINA CENTER FOR DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "SCALES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WELLINGTON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "919-484-9551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "9400629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "012N1",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905605",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Munro Norman, M.ED. LMFT
• Kennedy Hope Norris, RDN
• Mary Elizabeth Norris, LDO
• Jennifer E Norten, PH.D.
• North Carolina Autism Care LLC
• North Carolina Center for Oral & Maxillofacial Surgery
• North Carolina Center for Physical Therapy
• North Carolina Central University
• North Carolina Central University
• North Carolina Central University

• Dermatology Physician in Durham, NC
• Providers in Durham, 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 Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.