Organization Active NPI

Alamance Dermatology, P.a.

  • Specialist
  • Burlington, NC
National Provider Identifier
1346537180
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2005-01881 Issued in NC
Legal business name
ALAMANCE DERMATOLOGY, P.A.
Practice address
480 W Webb Ave
Burlington, NC 27217-3700
Phone
(336) 226-8000
NPI assigned
Jun 30, 2011
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Julie P Litten
Title
Practice Manager
Phone
(336) 395-2143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2005-01881 NC Primary

Addresses

Primary practice location

480 W Webb Ave
Burlington, NC 27217-3700

Mailing address

480 W Webb Ave
Burlington, NC 27217-3700
Phone (336) 226-8000

Other identifiers 1

IdentifierTypeStateIssuer
5917993MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110823001079 NC Part B Supplier - Clinic/Group Practice 8921278201 Receives reassigned benefits from 6 practitioners
Practice locations: Burlington, NC; Whitsett, NC

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0237878Alamance Dermatology480 W Webb Ave, Burlington, NC 27217Provider-performed microscopyMay 24, 2027

National Provider Directory

National Provider Directory

Locations

480 W Webb Ave
Burlington, NC 27217
Phone (336) 395-2142

945 Golf House Rd W
#A
Whitsett, NC 27377
Phone (336) 226-8000

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1346537180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 W WEBB AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173700",
            "telephone_number": "336-226-8000",
            "fax_number": "336-228-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W WEBB AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272173700",
            "telephone_number": "336-226-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMANCE DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "LITTEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "336-395-2143"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2005-01881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917993",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.