Individual provider Active NPI

Edward Shiang-Lin Smith, MD

  • Dermatology Physician
  • High Point, NC
National Provider Identifier
1679577100
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
200100465 Issued in NC
Practice address
4010 Mendenhall Oaks Pkwy
High Point, NC 27265-8076
Phone
(336) 887-3195
Fax
(336) 887-3194
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 200100465 NC
Dermatology Physician 207N00000X 200100465 NC Primary

Addresses

Primary practice location

4010 Mendenhall Oaks Pkwy
High Point, NC 27265-8076

Mailing address

4010 Mendenhall Oaks Pkwy
High Point, NC 27265-8076
Phone (336) 887-3195

Other practice location 1

231 Harmon Ln
Kernersville, NC 27284-2936
Phone (336) 996-1173

Other identifiers 1

IdentifierTypeStateIssuer
89134AGMedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address esmith@centralcarolinaderm.ezderm.info Direct
Direct Messaging Address esmith@centralcarolinaderm.ezderm.info Direct

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
I20100312000921 NC Practitioner - DermatologyPractitioner - Pathology 5597890723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Wake Forest University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Carolina Dermatology Clinic IncGroup PAC ID 9436140738, 7 clinicians

Practice addresses (Care Compare)

231 Harmon LN
Kernersville, NC 27284-2936
Phone (336) 996-1173

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
90.82
Improvement activities
40
Cost
86.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions1043
Removal or shaving of skin growth91
Skin biopsy209

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Carolina Dermatology Clinic, Inc Dermatology CurrentSince Jul 1, 2003 Accepting new patients

Locations

404 Westwood Ave
Ste 107
High Point, NC 27262
Phone (336) 887-3195

4010 Mendenhall Oaks Pkwy
High Point, NC 27265
Phone (336) 887-3195

231 Harmon Ln
Kernersville, NC 27284
Phone (330) 765-8620

6 Medical Park Dr
Lexington, NC 27292
Phone (336) 249-2404

Organizations & group practices 1

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": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1679577100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MENDENHALL OAKS PKWY",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658076",
            "telephone_number": "336-887-3195",
            "fax_number": "336-887-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MENDENHALL OAKS PKWY",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658076",
            "telephone_number": "336-887-3195",
            "fax_number": "336-887-3194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Harmon Ln",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272842936",
            "country_code": "US",
            "telephone_number": "336-996-1173",
            "fax_number": "336-996-7694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "middle_name": "SHIANG-LIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NC",
            "license": "200100465",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "200100465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134AG",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esmith@centralcarolinaderm.ezderm.info",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4010 Mendenhall Oaks Pkwy",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272658076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "esmith@centralcarolinaderm.ezderm.info",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "231 Harmon Ln",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272842936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.