Active NPI
John Milton Soderberg, M.D.
- Dermatology Physician
- Cary, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101261724
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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 100
- Promoting interoperability
- 97
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 20 |
| Removal of skin lesions | 723 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 206 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-01108 | NC | MD | Dermatology Physician |
| 0101261724 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Medical Group, PA | Current | Accepting new patients | |
| Forefront Dermatology, S.C. | Dermatology | Current | 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
- 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.
-
- Dermatology Physician
- Vienna, VA
- NPI 1891169975
-
- Dermatology Physician
- Goldsboro, NC
- NPI 1326532169
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1104962315
-
- Dermatology Physician
- Manitowoc, WI
- NPI 1578515904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.