Vieta Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2014-02302 Issued in NC

Legal business name

VIETA DERMATOLOGY, PLLC

Practice address

10 Trotter Hills Cir
Pinehurst, NC 28374-7930

Phone

(910) 420-1282

Fax

(910) 420-1116

NPI assigned

Nov 10, 2017

Last updated

Aug 7, 2023By 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

Sarah Grummer, MD

Title

Owner

Phone

(239) 595-5124

Specialties & licenses 2

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

Practitioners 3

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.

• Sarah Elizabeth Vieta, MD

  • MOHS-Micrographic Surgery Physician
  • Pinehurst, NC
  • NPI 1386791101

  Dermatology

  Medicare reassignment NPD
• Natalie Lucas Davies, M.D.

  • Dermatology Physician
  • Southern Pines, NC
  • NPI 1992025647
  Medicare reassignment
• Kelly Deanne John, PA-C

  • Physician Assistant
  • Charlotte, NC
  • NPI 1295764165
  Medicare reassignment

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1942713052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 TROTTER HILLS CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747930",
            "telephone_number": "910-420-1282",
            "fax_number": "910-420-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TROTTER HILLS CIR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747930",
            "telephone_number": "910-420-1282",
            "fax_number": "910-420-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIETA DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "GRUMMER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-595-5124",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2014-02302",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2014-02302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mae Odsey Velasco, P.T.
• Julie Verchick, MD
• John Thomas Verrilli, MD
• Nevaeh Via, BT
• Leah Marie Vidal, PA-C
• Paul Anthony Vieta Jr., M.D.
• Sarah Elizabeth Vieta, MD
• Michelle Sue Vincent, CRNA
• Corlea W Viskovich, CRNA
• Hanna Von Hardenberg, MD

• Dermatology Physician in Pinehurst, NC
• Providers in Pinehurst, 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 7, 2023; 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.