Dermatology Associates, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

40439 Issued in NC

Legal business name

DERMATOLOGY ASSOCIATES, PA

Practice address

6781 Parker Farm Dr
Suite 300
Wilmington, NC 28405-3161

Phone

(910) 763-1556

Fax

(910) 762-4726

NPI assigned

Sep 15, 2005

Last updated

Jun 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly R. Edwards, MDNPI 1922069723

Title

Owner

Phone

(910) 763-1556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 11

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.

• Kimberly Reynolds Edwards, MD

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1922069723
  Medicare reassignment Care Compare group NPD Authorized official
• Avery A Bevin, M.D.

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1588643613
  Medicare reassignment Care Compare group NPD
• Jessica Scheel Connett, MD

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1053654053
  Medicare reassignment Care Compare group NPD
• Vaishali Gupta Escaravage, MD

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1245463124
  Medicare reassignment Care Compare group NPD
• Marie Nash Hardy, M.D.

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1457345761
  Medicare reassignment Care Compare group NPD
• William Sargent Kaufman, MD

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1932498086
  Medicare reassignment Care Compare group NPD
• Steven Anthony Vernali, MD

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1720584824
  Medicare reassignment Care Compare group NPD
• Bradley William Alsip, PA-C

  • Physician Assistant
  • New Bern, NC
  • NPI 1467810242
  Medicare reassignment Care Compare group
• Nancy Marie Cunningham, M.D.

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1407817299
  Medicare reassignment NPD
• Stephen Hammond, M.D

  • Dermatopathology Physician
  • Myrtle Beach, SC
  • NPI 1851553523

  NC

  Medicare reassignment NPD
• Liesl Marie Patetta, MD

  • Dermatology Physician
  • Wilmington, NC
  • NPI 1376177923
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1801881883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 PARKER FARM DR",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053161",
            "telephone_number": "910-763-1556",
            "fax_number": "910-762-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 PARKER FARM DR",
            "address_2": "SUITE 300",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053161",
            "telephone_number": "910-763-1556",
            "fax_number": "910-762-4726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-763-1556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NC",
            "license": "40439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Veterans Affairs
• Rhonda Wellman Depasquale, CRNA
• Ashley Depriest, DO
• Derek Shelton Counseling PLLC
• Dermatology Associates PA (Dermatology Associates Pharmacy)
• Dermone of North Carolina PA
• Dermone Plastic Surgery Associates of North Carolina, PA
• Cassandra Desantis
• Yvonne Desmet, P.A.-C
• Policarpo Rodney Despaigne, PA-C

• Dermatology Physician in Wilmington, NC
• Providers in Wilmington, 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 Jun 7, 2013; 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.