Individual provider Active NPI

Rebecca Erin Stigall, MD

  • Dermatology Physician
  • Wilmington, NC
National Provider Identifier
1992020549
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2017-00657 Issued in NC
Practice address
1099 Medical Center Dr
Wilmington, NC 28401-7346
Phone
(800) 337-6663
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MT200387 PA
Dermatology Physician 207N00000X MD50939 TN
Dermatology Physician 207N00000X 2017-00657 NC Primary

Addresses

Primary practice location

1099 Medical Center Dr
Wilmington, NC 28401-7346

Mailing address

Four Tower Bridge, 200 Barr Harbor Drive
Suite 200
West Conshohocken, PA 19428
Phone (502) 271-9623

Other practice location 1

2300 W Stone Dr
Kingsport, TN 37660-2360
Phone (423) 246-4961 ext. 2232

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
I20170609002054 NC Practitioner - Dermatology 8426275850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Louisville School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

6752 Rock Spring Rd
Suite 201
Wilmington, NC 28405-3179
Phone (336) 724-2434

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions937
Removal or shaving of skin growth12
Skin biopsy555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-00657NCMDDermatology Physician
MT200387PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA CurrentSince May 1, 2018 Accepting new patients
Skin Surgery Center PA Dermatology CurrentSince May 1, 2018 Accepting new patients
Vein Specialists of North Carolina, PA Past Accepting new patients

Locations

6752 Rock Spring Rd
Ste 201
Wilmington, NC 28405
Phone (336) 724-2434

6752 Rock Spring Rd
Wilmington, NC 28405
Phone (910) 798-5347

6752 Rock Spring Rd
Ste 210
Wilmington, NC 28405

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

Interoperability endpoints

  • Direct secure messaging: erin.stigall@qdp.emadirect.md

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992020549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FOUR TOWER BRIDGE, 200 BARR HARBOR DRIVE",
            "address_2": "SUITE 200",
            "city": "WEST CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "19428",
            "telephone_number": "502-271-9623",
            "fax_number": "848-240-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017346",
            "telephone_number": "800-337-6663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 W Stone Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376602360",
            "country_code": "US",
            "telephone_number": "423-246-4961 x2232",
            "fax_number": "423-245-3136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIGALL",
        "first_name": "REBECCA",
        "middle_name": "ERIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MT200387",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD50939",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2017-00657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.