Organization Active NPI

Central Dermatology Center, PA

  • Dermatology Physician
  • Chapel Hill, NC
National Provider Identifier
1568424299
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
CENTRAL DERMATOLOGY CENTER, PA
Practice address
2238 Nelson Hwy
Suite 100
Chapel Hill, NC 27517-8914
Phone
(919) 401-1994
Fax
(919) 401-1924
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Dr. Beth G. Goldstein, MDNPI 1073594412
Title
Managing Partner
Phone
(919) 401-1994

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

2238 Nelson Hwy
Suite 100
Chapel Hill, NC 27517-8914

Mailing address

2238 Nelson Hwy Ste 100
Chapel Hill, NC 27517-8914
Phone (919) 401-1994

Other practice location 1

1210 Central Dr
Sanford, NC 27330-4160
Phone (919) 776-5286

Other practice location 2

1212 Cedarhurst Dr Ste 102
Raleigh, NC 27609-5588
Phone (919) 782-2735

Other practice location 3

110 Preston Executive Dr Ste 100
Cary, NC 27513-8447
Phone (919) 653-1344

Other practice location 4

855 East St
Pittsboro, NC 27312-8816
Phone (984) 282-2302

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708001465 NC Part B Supplier - Clinic/Group Practice 8123006947 Receives reassigned benefits from 34 practitioners
Practice locations: Sanford, NC; Raleigh, NC; Pittsboro, NC; Chapel Hill, NC; Fuquay Varina, NC; Cary, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1018282Central Dermatology Center, PA1210 Central Drive, Sanford, NC 27330ComplianceOct 12, 2026
34D2092691Central Dermatology Center110 Preston Executive Drive, Suite 108, Cary, NC 27513ComplianceJun 7, 2027
34D2232549Central Dermatology Center1212 Cedarhurst Drive, Suite 102, Raleigh, NC 27609ComplianceAug 22, 2027

National Provider Directory

National Provider Directory

Locations

110 Preston Executive Dr
Cary, NC 27513
Phone (919) 319-9219

110 Preston Executive Dr
Ste 108
Cary, NC 27513
Phone (919) 653-1344

110 Preston Executive Dr
Ste 1
Cary, NC 27513

2239 Nelson Hwy Ste 100
Chapel Hill, NC 27517

2235 Nelson Hwy Ste 100
Chapel Hill, NC 27517

2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27517
Phone (919) 282-5534

55 Vilcom Center Dr
Ste 130
Chapel Hill, NC 27514
Phone (984) 205-9299

6387 Ramsey St
Ste 2200
Fayetteville, NC 28311
Phone (919) 282-5534

1301 Castlepointe Dr
Fuquay Varina, NC 27526
Phone (984) 849-4328

101 E Corbin St
Ste 101
Hillsborough, NC 27278
Phone (919) 401-1994

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1568424299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 NELSON HWY STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178914",
            "telephone_number": "919-401-1994",
            "fax_number": "919-401-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 NELSON HWY",
            "address_2": "SUITE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178914",
            "telephone_number": "919-401-1994",
            "fax_number": "919-401-1924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1210 Central Dr",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304160",
            "country_code": "US",
            "telephone_number": "919-776-5286",
            "fax_number": "919-774-4226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Cedarhurst Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276095588",
            "country_code": "US",
            "telephone_number": "919-782-2735",
            "fax_number": "919-782-2839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Preston Executive Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138447",
            "country_code": "US",
            "telephone_number": "919-653-1344",
            "fax_number": "919-463-0920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 East St",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273128816",
            "country_code": "US",
            "telephone_number": "984-282-2302",
            "fax_number": "919-726-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL DERMATOLOGY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "919-401-1994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.