Organization Active NPI

TLK Dermatology PLLC

  • Dermatology Physician
  • Asheboro, NC
National Provider Identifier
1780453464
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
TLK DERMATOLOGY PLLC
Practice address
360 Sunset Ave
Asheboro, NC 27203-5612
Phone
(336) 625-8410
NPI assigned
Dec 22, 2023
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
James Todd Williams, MDNPI 1376545301
Title
Owner
Phone
(336) 625-8410

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)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

360 Sunset Ave
Asheboro, NC 27203-5612

Mailing address

360 Sunset Ave
Asheboro, NC 27203-5612
Phone (336) 625-8410

Other practice location 1

510 Pineview Dr
Kernersville, NC 27284-3663
Phone (336) 996-8410

Other practice location 2

1007 N 6th St
Albemarle, NC 28001-3551
Phone (704) 982-8410

Other practice location 3

145 W Plaza Dr Ste K
West End, NC 27376-9351
Phone (910) 673-8410

Other practice location 4

530 New Waverly Pl Ste 101
Cary, NC 27518-7414
Phone (919) 703-0110

Other practice location 5

1610 Liberty Dr
Thomasville, NC 27360-5767
Phone (336) 475-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240730001306 NC Part B Supplier - Clinic/Group Practice 6608313440 Receives reassigned benefits from 18 practitioners
Practice locations: West End, NC; Thomasville, NC; Kernersville, NC; Asheboro, NC; Albemarle, NC; Cary, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0237778TLK Dermatology PLLC360 Sunset Avenue, Asheboro, NC 27203AccreditationDec 25, 2026
34D2078122TLK Dermatology PLLC145 W Plaza Drive, Suite K, West End, NC 27376Provider-performed microscopyMay 21, 2028
34D2136293TLK Dermatology PLLC1610 Liberty Drive, Thomasville, NC 27360Provider-performed microscopySep 5, 2027
34D2149806TLK Dermatology PLLC1007 North 6TH Street, Albemarle, NC 28001Certificate of waiverApr 3, 2027
34D2176943TLK Dermatology PLLC510 Pineview Drive, Kernersville, NC 27284Provider-performed microscopyDec 29, 2027
34D2279606TLK Dermatology PLLC530 New Waverly Place, Suite 101, Cary, NC 27518ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

1007 N 6th St
Albemarle, NC 28001
Phone (336) 625-8410

360 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-8410

510 Pineview Dr
Kernersville, NC 27284
Phone (336) 992-2111

1610 Liberty Dr
Thomasville, NC 27360
Phone (336) 475-8410

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1703203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1780453464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035612",
            "telephone_number": "336-625-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 SUNSET AVE",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035612",
            "telephone_number": "336-625-8410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Pineview Dr",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272843663",
            "country_code": "US",
            "telephone_number": "336-996-8410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1007 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280013551",
            "country_code": "US",
            "telephone_number": "704-982-8410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 W Plaza Dr Ste K",
            "address_purpose": "LOCATION",
            "city": "West End",
            "state": "NC",
            "postal_code": "273769351",
            "country_code": "US",
            "telephone_number": "910-673-8410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 New Waverly Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187414",
            "country_code": "US",
            "telephone_number": "919-703-0110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 Liberty Dr",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273605767",
            "country_code": "US",
            "telephone_number": "336-475-8410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TLK DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-22",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-625-8410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.