Beacon Dermatology LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BEACON DERMATOLOGY LLC

Practice address

76 Peachtree Rd Ste 120
Asheville, NC 28803-5041

Phone

(828) 412-0688

Fax

(828) 222-6042

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Michael Rains, MDNPI 1275851032

Title

Owner

Phone

(415) 802-1310

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Leroy Rains, M.D.

  • Dermatology Physician
  • Asheville, NC
  • NPI 1275851032
  Medicare reassignment Care Compare group NPD Authorized official
• Margaret Mary Frates, PA

  • Physician Assistant
  • North Dartmouth, MA
  • NPI 1518462068

  NC

  Medicare reassignment Care Compare group NPD
• Gabrielle Sheaann Weaver, DMS, PA-C

  • Physician Assistant
  • Indianapolis, IN
  • NPI 1881341394

  NC

  Medicare reassignment Care Compare group
• Lola Gifford, PA-C

  • Medical Physician Assistant
  • Asheville, NC
  • NPI 1316911308
  Medicare reassignment

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1598486565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63249",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633249",
            "telephone_number": "828-412-0688",
            "fax_number": "828-372-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PEACHTREE RD STE 120",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288035041",
            "telephone_number": "828-412-0688",
            "fax_number": "828-222-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "RAINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-802-1310",
        "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": []
}

• Sabrina Bazin, LCSW
• Michael Austin Bazley, PHARMD
• Arnold Murphy Bazzle Jr., CRNA
• Andrew Wilson Beach, P.A.
• Rebecca Deane Beachem, LCSW
• Luce S Beagle, LPC
• Sondra Bear-Rosen, LPC
• Gregory Bear
• Kristin Noel Townsend Bearden, LCMHC, NCC
• Andrew Richard Beardsley, M.D.

• Dermatology Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Dermatology Physician in North Carolina

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