Active NPI
Regional Dermatology of Durham
- Dermatology Physician
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- REGIONAL DERMATOLOGY OF DURHAM
- Practice address
- 4321 Medical Park Dr
Suite 102
Durham, NC 27704-2199 - Phone
- (919) 220-7546
- Fax
- (919) 220-5805
- NPI assigned
- Oct 28, 2010
- Last updated
- Sep 26, 2011
- 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. Elizabeth H Hamilton, MD
- Title
- Medical Doctor
- Phone
- (919) 220-7546
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | NU | Primary |
Addresses
Primary practice location
4321 Medical Park Dr
Suite 102
Durham, NC 27704-2199
Mailing address
4321 Medical Park Dr
Suite 102
Durham, NC 27704-2199
Phone (919) 220-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2017655 | Regional Dermatology of Durham, PLLC | Provider-performed microscopy | Dec 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
4321 Medical Park Dr
Ste 102
Durham, NC 27704
Phone (919) 220-7546
Practitioners & affiliated clinicians
Practitioners 5
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
- Durham, NC
- NPI 1699745588
-
- Dermatology Physician
- Chapel Hill, NC
- NPI 1942263892
-
- Dermatology Physician
- Durham, NC
- NPI 1376599019
-
- Physician Assistant
- Durham, NC
- NPI 1952840837
-
- Dermatology Physician
- Durham, NC
- NPI 1699745570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316995200000",
"number": "1871893503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4321 MEDICAL PARK DR",
"address_2": "SUITE 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042199",
"telephone_number": "919-220-7546",
"fax_number": "919-220-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 MEDICAL PARK DR",
"address_2": "SUITE 102",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042199",
"telephone_number": "919-220-7546",
"fax_number": "919-220-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL DERMATOLOGY OF DURHAM",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-28",
"last_updated": "2011-09-26",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "919-220-7546",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.