Austin Newsome Dermatology Consultant, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AUSTIN NEWSOME DERMATOLOGY CONSULTANT, PLLC

Practice address

101 Rolesville Center Rd Ste 125
Rolesville, NC 27571-7409

Phone

(919) 205-4473

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Austin Newsome, MDNPI 1639436827

Title

Owner

Phone

(757) 927-0772

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 1

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

• Austin Jeannine Newsome, M.D.

  • Dermatology Physician
  • Rolesville, NC
  • NPI 1639436827
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1891502134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 CRESCENT SQUARE ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164337",
            "telephone_number": "757-927-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROLESVILLE CENTER RD STE 125",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275717409",
            "telephone_number": "919-205-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN NEWSOME DERMATOLOGY CONSULTANT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-927-0772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Rolesville, NC
• Providers in Rolesville, 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 Aug 5, 2025; 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.