Individual provider Active NPI

Austin Jeannine Newsome, M.D.

  • Dermatology Physician
  • Rolesville, NC
National Provider Identifier
1639436827
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
201601845 Issued in NC
Practice address
101 Rolesville Center Rd Ste 125
Rolesville, NC 27571-7409
Phone
(919) 205-4473
Fax
(919) 366-5998
NPI assigned
Apr 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 201601845 NC Primary

Addresses

Primary practice location

101 Rolesville Center Rd Ste 125
Rolesville, NC 27571-7409

Mailing address

101 Rolesville Center Rd Ste 125
Rolesville, NC 27571-7409
Phone (919) 205-4473

Other practice location 1

420 Spring Forest Rd
Greenville, NC 27834-2892
Phone (252) 752-4124

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
I20171012002801 NC Practitioner - Dermatology 9133428162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Brody School of Medicine at East Carolina University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Dermatology PAGroup PAC ID 2860478542, 20 clinicians

Practice addresses (Care Compare)

101 Rolesville Ctr Rd
Suite 125
Rolesville, NC 27571-7409
Phone (919) 205-4473

420 Spring Forest Rd
Greenville, NC 27834-7244
Phone (252) 752-4124

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions298
Removal or shaving of skin growth1-10
Skin biopsy111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201601845NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Dermatology, P.a. Dermatology Current Accepting new patients
Eastern Dermatology PA Dermatology CurrentSince Apr 1, 2024 Accepting new patients
Austin Newsome Dermatology Consultant, PLLC Dermatology CurrentSince Aug 27, 2025 Accepting new patients
Vidant Medical Group LLC PastSince Jan 13, 2020 Accepting new patients

Locations

800 N McPherson Xing
Elizabeth Cty, NC 27909
Phone (252) 331-1780

420 Spring Forest Rd
Greenville, NC 27834

101 Rolesville Center Rd
Ste 125
Rolesville, NC 27571
Phone (919) 205-4473

Interoperability endpoints

  • Direct secure messaging: anewsome@easterndermatology.emadirect.md

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": "1334188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1639436827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROLESVILLE CENTER RD STE 125",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275717409",
            "telephone_number": "919-205-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROLESVILLE CENTER RD STE 125",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275717409",
            "telephone_number": "919-205-4473",
            "fax_number": "919-366-5998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Spring Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342892",
            "country_code": "US",
            "telephone_number": "252-752-4124",
            "fax_number": "252-752-6146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "AUSTIN",
        "middle_name": "JEANNINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-12",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "201601845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolesville, NC

Sources for this page

Verify at the official NPI Registry.