Active NPI
Avila Dermatology PLLC
- Dermatology Physician
- Southport, NC
National Provider Identifier
1497699607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- AVILA DERMATOLOGY PLLC
- Practice address
- 1456 N Howe St Ste 101
Southport, NC 28461-2674 - Phone
- (910) 994-3917
- Fax
- (910) 946-0279
- NPI assigned
- Apr 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christina L Avila, MD, MPH
- Title
- Dermatologist, Owner
- Phone
- (910) 994-3917
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1456 N Howe St Ste 101
Southport, NC 28461-2674
Mailing address
1456 N Howe St Ste 101
Southport, NC 28461-2674
Phone (910) 994-3917
Other names 1
- Southport Dermatology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1456 N Howe St
Ste 101
Southport, NC 28461
Phone 91025199449
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Southport, NC
- NPI 1518543453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778198400000",
"number": "1497699607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 N HOWE ST STE 101",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284612674",
"telephone_number": "910-994-3917",
"fax_number": "910-946-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 N HOWE ST STE 101",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284612674",
"telephone_number": "910-994-3917",
"fax_number": "910-946-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVILA DERMATOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-17",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A",
"authorized_official_last_name": "AVILA",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DERMATOLOGIST, OWNER",
"authorized_official_telephone_number": "910-994-3917",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MPH"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southport Dermatology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.