Active NPI
Newport Dermatology Clinic, PLLC
- Dermatology Physician
- Newport, NC
National Provider Identifier
1750064101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- NEWPORT DERMATOLOGY CLINIC, PLLC
- Practice address
- 285 Howard Blvd
Newport, NC 28570-7927 - Phone
- (252) 223-4054
- NPI assigned
- Aug 11, 2023
- Last updated
- Aug 11, 2023
- 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. Adam Forbson Rhodes, DMSC, PA-C
- Title
- Manager
- Phone
- (910) 545-6901
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 | NU | Primary |
Addresses
Primary practice location
285 Howard Blvd
Newport, NC 28570-7927
Mailing address
24 William St
South Dartmouth, MA 02748-3728
Phone (910) 545-6901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
285 Howard Blvd
Newport, NC 28570
Phone (252) 223-4054
Practitioners & affiliated clinicians
Practitioners 2
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
- Boone, NC
- NPI 1578763140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691712000000",
"number": "1750064101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 WILLIAM ST",
"city": "SOUTH DARTMOUTH",
"state": "MA",
"postal_code": "027483728",
"telephone_number": "910-545-6901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 HOWARD BLVD",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285707927",
"telephone_number": "252-223-4054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWPORT DERMATOLOGY CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-11",
"last_updated": "2023-08-11",
"certification_date": "2023-08-11",
"status": "A",
"authorized_official_last_name": "RHODES",
"authorized_official_first_name": "ADAM",
"authorized_official_middle_name": "FORBSON",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "910-545-6901",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMSC, PA-C"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, NC
- Maria Antonietta Montesano-Ballance, MS, RD, LDN
- Lauren Moss, MS, RDN, LDN
- Ncal-Acquisition I, Inc (Somerset Court of Newport)
- New Life Counseling
- Newport Al Holdings, LLC (Carteret House)
- Newport Dermatology PLLC
- Newport Developmental Center
- Newport House LLC (Newport House)
- Newport Osteopractic Physical Therapy LLC
- Newsouth Homecare Solutions Inc. (Home Helpers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.