Individual provider Active NPI

Emily Dare Privette, M.D.

  • Dermatology Physician
  • Durham, NC
National Provider Identifier
1982023990
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101264060 Issued in VA
Practice address
3008 Pickett Rd
Durham, NC 27705-6006
Phone
(919) 286-7903
Fax
(919) 286-7151
NPI assigned
Apr 8, 2014
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101264060 VA Primary

Addresses

Primary practice location

3008 Pickett Rd
Durham, NC 27705-6006

Mailing address

600 Peter Jefferson Pkwy
Ste 230
Charlottesville, VA 22911-8835
Phone (434) 984-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210702000172 NC Practitioner - Dermatology 4082833991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Perelman School of Med at the University of Pennsylvania, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triangle Dermatology Associates PAGroup PAC ID 0648247353, 6 clinicians

Practice addresses (Care Compare)

3008 Pickett Rd
Durham, NC 27705-6006
Phone 91928679034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision38
Removal of skin lesions635
Removal or shaving of skin growth1-10
Skin biopsy188

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101264060VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triangle Dermatology Associates PA Dermatology CurrentSince Jul 15, 2021 Accepting new patients
Charlottesville Dermatology Dermatology PastSince Jun 1, 2002 Accepting new patients

Locations

3008 Pickett Rd
Durham, NC 27705
Phone (919) 286-7903

Interoperability endpoints

  • Direct secure messaging: eprivette@directaddress.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1982023990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY",
            "address_2": "STE 230",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-984-2400",
            "fax_number": "434-984-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 PICKETT RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056006",
            "telephone_number": "919-286-7903",
            "fax_number": "919-286-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIVETTE",
        "first_name": "EMILY",
        "middle_name": "DARE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101264060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.