Active NPI
Lois Beard Martin, DO
- Dermatology Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9600064
- Practice address
- 5710 Oleander Dr Ste 103
Wilmington, NC 28403-4723 - Phone
- (910) 509-4116
- Fax
- (910) 509-7566
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 9600064 | NC | Primary |
Addresses
Primary practice location
5710 Oleander Dr Ste 103
Wilmington, NC 28403-4723
Mailing address
1908 Eastwood Rd Ste 317
Wilmington, NC 28403-7235
Phone (910) 509-4116
Other practice location 1
1908 Eastwood Rd Ste 103
Wilmington, NC 28403-7229
Phone (910) 509-4116
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0247R | Other | NC | BCBS |
| 8954150 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Ohio University, College of Osteopathic Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1908 Eastwood Rd
Suite 317
Wilmington, NC 28403-7235
Phone (910) 509-4116
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 72 |
| Removal of skin lesions | 769 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Skin & Vein Center Inc. | Dermatology | Current | Accepting new patients |
| Skin Surgery Center PA | Dermatology | Past | Accepting new patients |
Locations
1908 Eastwood Rd
Ste 317
Wilmington, NC 28403
Phone (910) 509-4116
4114 Shipyard Blvd
#B
Wilmington, NC 28403
Phone (910) 792-1338
7110 Wrightsville Ave
Ste B9
Wilmington, NC 28403
Phone (910) 509-4116
Organizations & group practices 2
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.
-
- Dermatology Physician
- Wilmington, NC
- NPI 1114044682
-
- Dermatology Physician
- Winston Salem, NC
- NPI 1649237082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1679634018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 EASTWOOD RD STE 317",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284037235",
"telephone_number": "910-509-4116",
"fax_number": "910-509-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5710 OLEANDER DR STE 103",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284034723",
"telephone_number": "910-509-4116",
"fax_number": "910-509-7566"
}
],
"practiceLocations": [
{
"address_1": "1908 Eastwood Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284037229",
"country_code": "US",
"telephone_number": "910-509-4116",
"fax_number": "910-509-7566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "LOIS",
"middle_name": "BEARD",
"name_prefix": "Ms.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "9600064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0247R",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8954150",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.