Individual provider Active NPI

John Milton Soderberg, M.D.

  • Dermatology Physician
  • Cary, NC
National Provider Identifier
1386810588
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101261724 Issued in VA
Practice address
7560 Carpenter Fire Station Rd Ste 204
Cary, NC 27519-9637
Phone
(919) 439-4206
Fax
(919) 439-9375
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101261724 VA Primary
Dermatology Physician 207N00000X 2008-01108 NC

Addresses

Primary practice location

7560 Carpenter Fire Station Rd Ste 204
Cary, NC 27519-9637

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

278 Westlake Rd
Hardy, VA 24101-3967
Phone (540) 759-7500

Other practice location 2

300 E 3rd St
Farmville, VA 23901-1510
Phone (434) 607-4599

Other practice location 3

1007 Harbor Hills Dr Ste C
Marquette, MI 49855-8977
Phone (906) 225-5458

Other practice location 4

3459 Old Halifax Rd Ste I
South Boston, VA 24592-4900
Phone (434) 549-0383

Other practice location 5

3825 Conlon Way #100
Elizabeth City, NC 27909
Phone (252) 331-5869

Other practice location 6

242 S Main St Ste 212
Holly Springs, NC 27540-6054
Phone (919) 439-9423

Other practice location 7

1380 American Way Unit D
Bedford, VA 24523-2940
Phone (540) 583-7114

Other practice location 8

7650 E Parham Rd Ste 110
Richmond, VA 23294-4376
Phone (804) 916-7062

Other practice location 9

5589 N Croatan Hwy
Kitty Hawk, NC 27949-3996
Phone (252) 715-0610

Other practice location 10

6807 Knightdale Blvd Ste C
Knightdale, NC 27545-6563
Phone (919) 217-5510

Other practice location 11

4711 S Croatan Hwy Ste 6B
Nags Head, NC 27959-8997
Phone (252) 441-0515

Other practice location 12

101 Candlewood CT
Lynchburg, VA 24502-2654
Phone (434) 363-4190

Electronic endpoints 13

TypeEndpointUseAffiliation
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md
Direct Messaging Address JS3975@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 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

Enrollment IDStateProvider typePAC IDDetails
I20080902000412 NC Practitioner - Dermatology 9133295942 Reassigns benefits to 1 organization
I20170410001759 VA Practitioner - Dermatology 9133295942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

1380 American Way
Unit D
Bedford, VA 24523-2940
Phone (540) 583-7114

7560 Carpenter Fire Station Rd
Suite 204
Cary, NC 27519-9637
Phone (919) 439-4206

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions723
Removal or shaving of skin growth16
Skin biopsy206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2008-01108NCMDDermatology Physician
0101261724VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Medical Group, PA CurrentSince May 2, 2019 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Mar 19, 2018 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

860 Perry Rd
Apex, NC 27502
Phone (919) 267-2222

5603 Duraleigh Rd
Ste 111
Raleigh, NC 27612
Phone (919) 791-0840

5201 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 262-6060

101 Candlewood Ct
Lynchburg, VA 24502
Phone (434) 363-4190

7650 E Parham Rd
Ste 110
Richmond, VA 23294
Phone (804) 270-5028

3459 Old Halifax Rd
Ste I
South Boston, VA 24592
Phone (434) 549-0383

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Interoperability endpoints

  • Direct secure messaging: js3975@forefrontdermatology.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1386810588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 CARPENTER FIRE STATION RD STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199637",
            "telephone_number": "919-439-4206",
            "fax_number": "919-439-9375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "278 WESTLAKE RD",
            "address_purpose": "LOCATION",
            "city": "HARDY",
            "state": "VA",
            "postal_code": "241013967",
            "country_code": "US",
            "telephone_number": "540-759-7500",
            "fax_number": "540-759-7501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E 3rd St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011510",
            "country_code": "US",
            "telephone_number": "434-607-4599",
            "fax_number": "434-956-3786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 Harbor Hills Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498558977",
            "country_code": "US",
            "telephone_number": "906-225-5458",
            "fax_number": "906-225-1179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3459 Old Halifax Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "South Boston",
            "state": "VA",
            "postal_code": "245924900",
            "country_code": "US",
            "telephone_number": "434-549-0383",
            "fax_number": "434-549-0384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3825 CONLON WAY #100",
            "address_purpose": "LOCATION",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "27909",
            "country_code": "US",
            "telephone_number": "252-331-5869",
            "fax_number": "252-331-5906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "242 S Main St Ste 212",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275406054",
            "country_code": "US",
            "telephone_number": "919-439-9423",
            "fax_number": "919-439-9533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 AMERICAN WAY UNIT D",
            "address_purpose": "LOCATION",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245232940",
            "country_code": "US",
            "telephone_number": "540-583-7114",
            "fax_number": "540-583-7112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7650 E PARHAM RD STE 110",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232944376",
            "country_code": "US",
            "telephone_number": "804-916-7062",
            "fax_number": "804-918-2172",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5589 N Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493996",
            "country_code": "US",
            "telephone_number": "252-715-0610",
            "fax_number": "252-715-0612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6807 Knightdale Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275456563",
            "country_code": "US",
            "telephone_number": "919-217-5510",
            "fax_number": "919-217-5501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4711 S Croatan Hwy Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Nags Head",
            "state": "NC",
            "postal_code": "279598997",
            "country_code": "US",
            "telephone_number": "252-441-0515",
            "fax_number": "252-441-0531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 CANDLEWOOD CT",
            "address_purpose": "LOCATION",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022654",
            "country_code": "US",
            "telephone_number": "434-363-4190",
            "fax_number": "434-363-4191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SODERBERG",
        "first_name": "JOHN",
        "middle_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101261724",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2008-01108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "101 CANDLEWOOD CT",
            "city": "LYNCHBURG",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245022654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "278 WESTLAKE RD",
            "city": "HARDY",
            "state": "VA",
            "country_code": "US",
            "postal_code": "241013967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3825 CONLON WAY #100",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1380 AMERICAN WAY UNIT D",
            "city": "BEDFORD",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245232940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "300 E 3rd St",
            "city": "Farmville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "239011510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3459 Old Halifax Rd Ste I",
            "city": "South Boston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245924900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7560 Carpenter Fire Station Rd Ste 204",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275199637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1007 Harbor Hills Dr Ste C",
            "city": "Marquette",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498558977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "242 S Main St Ste 212",
            "city": "Holly Springs",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275406054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7650 E PARHAM RD STE 110",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232944376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "6807 Knightdale Blvd Ste C",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275456563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4711 S Croatan Hwy Ste 6B",
            "city": "Nags Head",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279598997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JS3975@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5589 N Croatan Hwy",
            "city": "Kitty Hawk",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279493996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.