Organization Active NPI

Associates in Dermatology, Inc.

  • Dermatology Physician
  • Hampton, VA
National Provider Identifier
1609912112
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101020320 Issued in VA
Legal business name
ASSOCIATES IN DERMATOLOGY, INC.
Practice address
17 Manhattan SQ
Hampton, VA 23666-5843
Phone
(757) 838-8030
Fax
(757) 838-8413
NPI assigned
Jan 30, 2007
Last updated
Jun 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Authorized official

Name
Leslie Coker, MDNPI 1275500449
Title
Owner/Physician
Phone
(757) 838-8030

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 0101020320 VA Primary

Addresses

Primary practice location

17 Manhattan SQ
Hampton, VA 23666-5843

Mailing address

17 Manhattan SQ
Hampton, VA 23666-5843
Phone (757) 838-8030

Other identifiers 3

IdentifierTypeStateIssuer
0101225840OtherVALESLIE R. COKER, MD
010004055MedicaidVA
005930936MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090126000746 VA Part B Supplier - Clinic/Group Practice 7012071608 Receives reassigned benefits from 5 practitioners
Practice locations: Hampton, VA

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
49D0230367Associates in Dermatology, Inc17 Manhattan Square, Hampton, VA 23666ComplianceOct 11, 2027

National Provider Directory

National Provider Directory

Locations

17 Manhattan Sq
Hampton, VA 23666
Phone (757) 838-8030

2115 Executive Dr
#3A
Hampton, VA 23666
Phone (757) 234-2905

Practitioners & affiliated clinicians

Practitioners 7

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1609912112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MANHATTAN SQ",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665843",
            "telephone_number": "757-838-8030",
            "fax_number": "757-838-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MANHATTAN SQ",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665843",
            "telephone_number": "757-838-8030",
            "fax_number": "757-838-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "757-838-8030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101020320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LESLIE R. COKER, MD",
            "identifier": "0101225840",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010004055",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005930936",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.