Individual provider Active NPI

Daniel Joseph Teague, M.D.

  • Dermatopathology (Pathology) Physician
  • Winston Salem, NC
National Provider Identifier
1942407291
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
201200359 Issued in NC
Practice address
1800 S Hawthorne Rd Ste 200
Winston Salem, NC 27103-4014
Phone
(336) 760-1388
Fax
(336) 760-1398
NPI assigned
Jun 29, 2007
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 33214 SC
Dermatopathology (Pathology) Physician 207ZD0900X 201200359 NC Primary
Dermatopathology (Pathology) Physician 207ZD0900X 0101259078 VA
Dermatopathology (Pathology) Physician 207ZD0900X 069453 GA

Addresses

Primary practice location

1800 S Hawthorne Rd Ste 200
Winston Salem, NC 27103-4014

Mailing address

PO Box 306648
Nashville, TN 37230-6648
Phone (336) 999-8888

Other practice location 1

315 19th St SE
Hickory, NC 28602-4230
Phone (828) 325-9849

Other practice location 2

18688 Jeb Stuart Hwy
Stuart, VA 24171-1559
Phone (276) 692-9020

Other practice location 3

917 Medical Cir
Myrtle Beach, SC 29572-4116
Phone (843) 449-0453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110803000637 SC Practitioner - PathologyPractitioner - Dermatology 2860661139 Reassigns benefits to 3 organizations
I20160926000673 NC Practitioner - Pathology 2860661139 Reassigns benefits to 3 organizations
I20210722000649 VA Practitioner - Pathology 2860661139 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Carolina School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cutaneous Pathology, P.a.Group PAC ID 0446314918, 2 clinicians
Piedmont Plastic Surgery and Dermatology PAGroup PAC ID 6800875188, 56 clinicians
Waccamaw Dermatology LLCGroup PAC ID 7315021169, 26 clinicians
Polaris Skin Diagnostics LLCGroup PAC ID 7618396573, 2 clinicians

Practice addresses (Care Compare)

1800 S Hawthorne Rd
Suite 200
Winston Salem, NC 27103-4014
Phone (336) 817-9768

315 19TH St SE
Hickory, NC 28602-4230
Phone (828) 325-9849

8170 Rourk St
Suite 100
Myrtle Beach, SC 29572-4127
Phone (843) 449-0453

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201200359NCMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathologists Diagnostic Laboratory PA Dermatopathology Current Accepting new patients
Polaris Skin Diagnostics, LLC CurrentSince Jun 13, 2024 Accepting new patients
Skin Surgery Center PA CurrentSince Jul 1, 2021 Accepting new patients
Piedmont Plastic Surgery & Dermatology PA CurrentSince Apr 1, 2026 Accepting new patients
Skin Surgery Center PA Mohs-Micrographic Surgery CurrentSince Jul 1, 2021 Accepting new patients
Cutaneous Pathology, P.a. Dermatopathology CurrentSince Sep 1, 2021 Accepting new patients
Waccamaw Dermatology, LLC CurrentSince Apr 28, 2024 Accepting new patients
Wake Forest University Health Sciences PastSince Sep 1, 2021 Accepting new patients
Piedmont Plastic Surgery and Dermatology PastSince Apr 1, 2026 Accepting new patients

Locations

1927 3rd Avenue Ln SE
Hickory, NC 28602
Phone (828) 328-3500

315 19th St SE
Hickory, NC 28602
Phone (828) 325-9849

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

1800 S Hawthorne Rd
#100
Winston Salem, NC 27103
Phone (336) 760-1388

1800 S Hawthorne Rd
#200
Winston Salem, NC 27103
Phone (336) 760-1388

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

166 Waccamaw Medical Park Ct
Conway, SC 29526
Phone (843) 449-8079

180 Wingo Way
Ste 202
Mt Pleasant, SC 29464
Phone (843) 402-5283

8170 Rourk St
Ste 100
Myrtle Beach, SC 29572
Phone (843) 282-1915

917 Medical Cir
Myrtle Beach, SC 29572

974 E Stuart Dr
Ste C
Galax, VA 24333
Phone (276) 238-9902

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1942407291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306648",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306648",
            "telephone_number": "336-999-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 S HAWTHORNE RD STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034014",
            "telephone_number": "336-760-1388",
            "fax_number": "336-760-1398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 19th St SE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286024230",
            "country_code": "US",
            "telephone_number": "828-325-9849",
            "fax_number": "828-325-9849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18688 Jeb Stuart Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "VA",
            "postal_code": "241711559",
            "country_code": "US",
            "telephone_number": "276-692-9020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295724116",
            "country_code": "US",
            "telephone_number": "843-449-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "SC",
            "license": "33214",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "NC",
            "license": "201200359",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "VA",
            "license": "0101259078",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "GA",
            "license": "069453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.