Organization Active NPI

Harrisonburg Dermatology PLC

  • Dermatology Physician
  • Harrisonburg, VA
National Provider Identifier
1356469407
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101230036 Issued in VA
Legal business name
HARRISONBURG DERMATOLOGY PLC
Practice address
2062 Pro Pointe LN
Suite 100
Harrisonburg, VA 22801-8021
Phone
(540) 433-8700
Fax
(540) 433-8080
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerri Alley Alexiou, MD
Title
Owner
Phone
(540) 433-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 0101230036 VA Primary

Addresses

Primary practice location

2062 Pro Pointe LN
Suite 100
Harrisonburg, VA 22801-8021

Mailing address

2062 Pro Pointe LN
Suite 100
Harrisonburg, VA 22801-8021
Phone (540) 433-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070529000170 VA Part B Supplier - Clinic/Group Practice 4688771686 Receives reassigned benefits from 3 practitioners
Practice locations: Penn Laird, VA

National Provider Directory

National Provider Directory

Locations

2062 Pro Pointe Ln
Ste 100
Harrisonburg, VA 22801
Phone (540) 433-8700

4549 Spotswood Trl
Ste 8
Penn Laird, VA 22846
Phone (540) 433-8700

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356469407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2062 PRO POINTE LN",
            "address_2": "SUITE 100",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018021",
            "telephone_number": "540-433-8700",
            "fax_number": "540-433-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2062 PRO POINTE LN",
            "address_2": "SUITE 100",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018021",
            "telephone_number": "540-433-8700",
            "fax_number": "540-433-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISONBURG DERMATOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALEXIOU",
        "authorized_official_first_name": "JERRI",
        "authorized_official_middle_name": "ALLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-433-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101230036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.