Carolina Dermatology Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CAROLINA DERMATOLOGY CENTER

Practice address

1900 Ashwood CT
Greensboro, NC 27455-3005

Phone

(336) 282-1414

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Debbie Reinelt

Title

Billing

Phone

(828) 891-5524

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelli R Sheffield, PA C

  • Physician Assistant
  • Greensboro, NC
  • NPI 1154382646
  NPD
• Stuart O Tafeen, MD

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1508827098
  NPD
• Dena Diane Anderson, MPAS, PA-C

  • Dermatology Physician
  • Greensboro, NC
  • NPI 1760509210
  NPD (past)
• Dzi-Long Newman, PA C

  • Physician Assistant
  • Orlando, FL
  • NPI 1518929116

  Dermatology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1750490306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287291689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ASHWOOD CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553005",
            "telephone_number": "336-282-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA DERMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "REINELT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "828-891-5524"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01423",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890117W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "C14128",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Child Psychiatric Services, PA
• Carolina Children'S Eye Care, PA
• Carolina Chiropractic Center P a
• Carolina Community Behavioral Services LLC
• Carolina Community Consultants, PLLC
• Carolina Diagnostic Corporation
• Carolina Diagnostics, Inc
• Carolina Eye Associates Inc
• Carolina Eye Surgical and Laser Center
• Carolina Homes for Youth Inc

• Dermatology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.