NPIMap

Organization Active NPI

Moses Cone Physician Services, Inc

Doing business as Alamance Skin Center

  • Dermatology Physician
  • Burlington, NC
National Provider Identifier
1548702186
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MOSES CONE PHYSICIAN SERVICES, INC
Doing business as
Alamance Skin Center
Practice address
1734 Westbrook Ave
Burlington, NC 27215-8721
Phone
(336) 584-5801
Fax
(336) 584-5860
NPI assigned
Nov 14, 2016
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MOSES H CONE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Sally P Hammond
Title
Executive Director, Operations
Phone
(336) 663-5007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

1734 Westbrook Ave
Burlington, NC 27215-8721

Mailing address

1200 N Elm St
Greensboro, NC 27401-1004

Other names 1

  • Alamance Skin Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090501000202 NC Part B Supplier - Clinic/Group Practice 4284782210 Receives reassigned benefits from 758 practitioners
25 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mebane, NC; Greensboro, NC; High Point, NC; Kernersville, NC; Madison, NC; Reidsville, NC; Burlington, NC; Eden, NC

Other NPIs on the same Medicare enrollment 25

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 25

National Provider Directory

National Provider Directory
Tax ID family
Moses Cone Physician Services Inc15 organizations share this tax ID, including this one
Part of
Moses H Cone Memorial H

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1548702186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 WESTBROOK AVE",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158721",
            "telephone_number": "336-584-5801",
            "fax_number": "336-584-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES CONE PHYSICIAN SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MOSES H CONE MEMORIAL HOSPITAL",
        "enumeration_date": "2016-11-14",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, OPERATIONS",
        "authorized_official_telephone_number": "336-663-5007"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamance Skin Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alamance Skin Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.

Verify at the official NPI Registry.