Active NPI
Ashley Antony
- Dermatology Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2024-00309
- Practice address
- 7200 Creedmoor Rd Ste 104
Raleigh, NC 27613-1711 - Phone
- (919) 518-0999
- NPI assigned
- Mar 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 2024-00309 | NC | |
| Dermatology Physician | 207N00000X | 2024-00309 | NC | Primary |
Addresses
Primary practice location
7200 Creedmoor Rd Ste 104
Raleigh, NC 27613-1711
Mailing address
1450 Professional Park Dr Ste 150
Winston Salem, NC 27103-1307
Phone (336) 724-2434
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
- Johns Hopkins University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7200 Creedmoor Rd
Suite 104
Raleigh, NC 27613-1711
Phone (919) 518-0999
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 32 |
| Removal of skin lesions | 291 |
| Removal of skin cancer | 154 |
| Removal or shaving of skin growth | 11 |
| Skin biopsy | 193 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024-00309 | NC | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Surgery Center PA | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Skin Surgery Center PA | Dermatology | Current | Accepting new patients |
Locations
7200 Creedmoor Rd
Ste 104
Raleigh, NC 27613
Phone (919) 260-0618
1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434
1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone (336) 724-2434
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
- Winston Salem, NC
- NPI 1649237082
-
- MOHS-Micrographic Surgery Physician
- Mount Pleasant, SC
- NPI 1851810279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1780959759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 PROFESSIONAL PARK DR STE 150",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031307",
"telephone_number": "336-724-2434",
"fax_number": "336-607-8061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 CREEDMOOR RD STE 104",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276131711",
"telephone_number": "919-518-0999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTONY",
"first_name": "ASHLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NC",
"license": "2024-00309",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2024-00309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.