Active NPI
Dylan James Skinner, DO
- Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2024-00806
- Practice address
- 1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112 - Phone
- (704) 333-0741
- Fax
- (704) 333-3356
- NPI assigned
- Apr 18, 2019
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2024-00806 | NC | Primary |
| Trauma Surgery Physician | 2086S0127X | 2024-00806 | NC |
Addresses
Primary practice location
1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112
Mailing address
PO Box 604350
Charlotte, NC 28260-4350
Other practice location 1
1841 Quiet Cv
Fayetteville, NC 28304-3985
Phone (910) 323-2626
Other practice location 2
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 323-2626
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
- General Surgery
- Education
- Campbell Univ School of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
- Novant Health Matthews Medical Center
- Novant Health Ballantyne Medical Center
- Novant Health Mint Hill Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialists of Charlotte, P.a. | Surgery | Current | Accepting new patients |
| Novant Health Prep II LLC | Surgery | Current | Accepting new patients |
| Novant Health Prep II LLC | Surgery | Current | Accepting new patients |
| Novant Health Prep II LLC | Surgery | Current | Accepting new patients |
Locations
10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076
2001 Vail Ave
Ste 320
Charlotte, NC 28207
Phone (704) 333-0741
10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500
7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100
1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741
8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120
10030 Gilead Rd
Ste 245
Huntersville, NC 28078
Phone (704) 895-9390
1450 Matthews Township Pkwy
Ste 250
Matthews, NC 28105
Phone (704) 841-1444
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Surgery Physician
- Charlotte, NC
- NPI 1952107385
-
- Surgery Physician
- Charlotte, NC
- NPI 1073599734
-
- Surgery Physician
- Matthews, NC
- NPI 1013713437
-
- Surgery Physician
- Huntersville, NC
- NPI 1518763945
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1972001469
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1457914020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604350",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 RANDOLPH RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071112",
"telephone_number": "704-333-0741",
"fax_number": "704-333-3356"
}
],
"practiceLocations": [
{
"address_1": "1841 Quiet Cv",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043985",
"country_code": "US",
"telephone_number": "910-323-2626",
"fax_number": "910-484-7962",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-323-2626",
"fax_number": "910-484-7962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKINNER",
"first_name": "DYLAN",
"middle_name": "JAMES",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-18",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2024-00806",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NC",
"license": "2024-00806",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 14, 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.