Active NPI
Natalie Marion Vincent, MD
- Dermatology Physician
- Charlotte, NC
National Provider Identifier
1407433014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2025-02076
- Practice address
- 8936 Blakeney Professional Dr
Charlotte, NC 28277-6660 - Phone
- (704) 943-3714
- NPI assigned
- Mar 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2025-02076 | NC | Primary |
Addresses
Primary practice location
8936 Blakeney Professional Dr
Charlotte, NC 28277-6660
Mailing address
8936 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone (704) 943-3714
Other names 1
- Natalie Marion Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Miami, LM Miller School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8936 Blakeney Professional Dr
Charlotte, NC 28277-6660
Phone (704) 943-3714
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 111 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Surgery Center PA | Current | Accepting new patients | |
| Skin Surgery Center PA | Dermatology | Current | Accepting new patients |
Locations
8936 Blakeney Professional Dr
Charlotte, NC 28277
Phone (704) 341-0090
1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434
Organizations & group practices 2
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
- Winston Salem, NC
- NPI 1649237082
-
- MOHS-Micrographic Surgery Physician
- Mount Pleasant, SC
- NPI 1851810279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1407433014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8936 BLAKENEY PROFESSIONAL DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776660",
"telephone_number": "704-943-3714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8936 BLAKENEY PROFESSIONAL DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282776660",
"telephone_number": "704-943-3714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "NATALIE",
"middle_name": "MARION",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-28",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2025-02076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "WILLIAMS",
"middle_name": "MARION",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.