Active NPI
Mountain Laurel Dermatology, PLLC
- Dermatology Physician
- Clyde, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- MOUNTAIN LAUREL DERMATOLOGY, PLLC
- Practice address
- 11 Falcon Crest LN
Clyde, NC 28721-6620 - Phone
- (828) 565-0560
- NPI assigned
- May 27, 2014
- Last updated
- Jan 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gina R Singleton, M.D.
- Title
- Managing Physician
- Phone
- (828) 565-0560
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NC | Primary |
Addresses
Primary practice location
11 Falcon Crest LN
Clyde, NC 28721-6620
Mailing address
PO Box 1921
Clyde, NC 28721-1900
Phone (828) 565-0560
Other practice location 1
11 Falcon Crest Lane
Clyde, NC 28721
Phone (828) 565-0560
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0247590 | Mountain Laurel Dermatology, PLLC | Provider-performed microscopy | Oct 12, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 14
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.
-
- Dermatology Physician
- Asheville, NC
- NPI 1033104369
-
- Physician Assistant
- Clyde, NC
- NPI 1790289015
-
- Physician Assistant
- Clyde, NC
- NPI 1295326536
-
- Physician Assistant
- Clyde, NC
- NPI 1841823572
-
- Physician Assistant
- New Bern, NC
- NPI 1114647120
-
- Medical Physician Assistant
- Clyde, NC
- NPI 1861047466
-
- Physician Assistant
- Asheville, NC
- NPI 1902220213
-
- Dermatology Physician
- Clyde, NC
- NPI 1245233030
-
- Dermatology Physician
- Asheville, NC
- NPI 1366437501
-
- Physician Assistant
- Waynesville, NC
- NPI 1285646315
-
- Dermatology Physician
- Omaha, NE
- NPI 1568705556
-
- Physician Assistant
- Castle Rock, CO
- NPI 1659008548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737936000000",
"number": "1700298635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1921",
"city": "CLYDE",
"state": "NC",
"postal_code": "287211900",
"telephone_number": "828-565-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 FALCON CREST LN",
"city": "CLYDE",
"state": "NC",
"postal_code": "287216620",
"telephone_number": "828-565-0560"
}
],
"practiceLocations": [
{
"address_1": "11 Falcon Crest Lane",
"address_purpose": "LOCATION",
"city": "Clyde",
"state": "NC",
"postal_code": "28721",
"country_code": "US",
"telephone_number": "828-565-0560",
"fax_number": "828-565-0562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOUNTAIN LAUREL DERMATOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A",
"authorized_official_last_name": "SINGLETON",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGING PHYSICIAN",
"authorized_official_telephone_number": "828-565-0560",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.