Individual provider Active NPI

Nathaniel Allen Slater, M.D.

  • Dermatology Physician
  • Concord, NC
National Provider Identifier
1548647613
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2020-00395 Issued in NC
Practice address
335 Penny LN
Concord, NC 28025-1221
Phone
(704) 784-5901
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 2020-00395 NC
Student in an Organized Health Care Education/Training Program 390200000X TX
Dermatology Physician 207N00000X 2020-00395 NC Primary

Addresses

Primary practice location

335 Penny LN
Concord, NC 28025-1221

Mailing address

335 Penny LN
Concord, NC 28025-1221
Phone (704) 784-5901

Other practice location 1

410 Market St Ste 400
Chapel Hill, NC 27516-4061
Phone (984) 974-3900

Other practice location 2

6655 Travis St Ste 980
Houston, TX 77030-1343
Phone (713) 500-8334

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200522002367 NC Practitioner - Dermatology 3678863081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of North Carolina at Chapel Hill School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Group of the CarolinasGroup PAC ID 3678514759, 24 clinicians

Practice addresses (Care Compare)

335 Penny LN
Concord, NC 28025-1221
Phone (704) 784-5907

525 Corporate Cir
Salisbury, NC 28147-8074
Phone (704) 784-5901

Merit-based Incentive Payment System (MIPS)

Final score
85.93 of 100Reported as group
Quality
69.47
Promoting interoperability
100
Improvement activities
40
Cost
83.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions249
Removal or shaving of skin growth13
Skin biopsy58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020-00395NCMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Group of the Carolinas Dermatology CurrentSince Jul 1, 2020 Accepting new patients
Ut Physicians Dermatology Past Accepting new patients
Ut Physicians Past Accepting new patients
University of North Carolina at Chapel Hill Dermatology Past Accepting new patients

Locations

335 Penny Ln
Concord, NC 28025
Phone (704) 784-5901

Interoperability endpoints

  • Direct secure messaging: nslater@directaddress.net

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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1548647613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 PENNY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251221",
            "telephone_number": "704-784-5901",
            "fax_number": "704-721-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 PENNY LN",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251221",
            "telephone_number": "704-784-5901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Market St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275164061",
            "country_code": "US",
            "telephone_number": "984-974-3900",
            "fax_number": "984-974-3692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6655 Travis St Ste 980",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301343",
            "country_code": "US",
            "telephone_number": "713-500-8334",
            "fax_number": "713-500-8321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATER",
        "first_name": "NATHANIEL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NC",
            "license": "2020-00395",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2020-00395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.