DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA
NPI 1023358231
Dermatology - Clinical & Laboratory Dermatological Immunology in Morehead City, NC

NPI Status: Active since February 25, 2013

Contact Information

3332 BRIDGES ST
SUITE B
MOREHEAD CITY, NC
ZIP 28557
Phone: (252) 633-4461
Fax: (252) 633-6016

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  • Organization
  • Dermatology
  • Clinical & Laboratory Dermatological Imm...
  • CLIA Number: 34D2057330
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 08-25-2026

About DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA

This page provides the complete NPI Profile along with additional information for Dermatology Associates Of Coastal Carolina, a provider established in Morehead City, North Carolina operating as a Dermatology, focusing in clinical & laboratory dermatological immunology . The healthcare provider is registered in the NPI registry with number 1023358231 assigned on February 2013. The practitioner's primary taxonomy code is 207NI0002X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. James Polo M.d. (President/owner)

NPI
1023358231
Provider Name
DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA
Entity Type
Organization
Location Address
3332 BRIDGES ST SUITE B MOREHEAD CITY, NC 28557
Location Phone
(252) 633-4461
Location Fax
(252) 633-6016
Mailing Address
PO BOX 890283 CHARLOTTE, NC 28289
Mailing Phone
(252) 633-4461
Mailing Fax
(252) 633-6016
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2013
Last Update Date
09-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology Clinical & Laboratory Dermatological Immunology

Taxonomy Code
207NI0002X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAMES POLO M.D.

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(252) 633-4461

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2057330
Facility Type
Practitioner Other
Certificate Effective Date
August 26, 2024
Certificate Expiration Date
August 25, 2026
Laboratory Director
SCOTT D. MCCLELLAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Dermatology Associates Of Coastal Carolina in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023358231, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 6 + 5 + 1 + 6 + 2 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1023358231.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Community/Behavioral Health
3332 BRIDGES ST, SUITE A
MOREHEAD CITY, NC 28557
Counselor
3332 BRIDGES ST, SUITE A
MOREHEAD CITY, NC 28557
Nurse Practitioner (Family)
3332 BRIDGES ST, SUITE A
MOREHEAD CITY, NC 28557
Day Training, Developmentally Disabled Services
3332 BRIDGES ST, SUITE 1-A
MOREHEAD CITY, NC 28557
Community/Behavioral Health
3332 BRIDGES ST
MOREHEAD CITY, NC 28557
Community/Behavioral Health
3332 BRIDGES ST, SUITE 3A
MOREHEAD CITY, NC 28557
Case Management
3332 BRIDGES ST, SUITE 3A
MOREHEAD CITY, NC 28557
Community/Behavioral Health
3332 BRIDGES ST
MOREHEAD CITY, NC 28557
Community/Behavioral Health
3332 BRIDGES ST, SUITE 3A
MOREHEAD CITY, NC 28557
Counselor (Mental Health)
3332 BRIDGES ST
MOREHEAD CITY, NC 28557
Marriage & Family Therapist
3332 BRIDGES ST, SUITE 3A
MOREHEAD CITY, NC 28557
Marriage & Family Therapist
3332 BRIDGES ST, SUITE 3A
MOREHEAD CITY, NC 28557
Marriage & Family Therapist
3332 BRIDGES ST, SUITE 3A
MOREHEAD CITY, NC 28557
Community/Behavioral Health
3332 BRIDGES ST
MOREHEAD CITY, NC 28557
Nurse Practitioner (Psychiatric/Mental Health)
3332 BRIDGES ST
MOREHEAD CITY, NC 28557

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023358231, enumerated as an "organization" on February 25, 2013.

The provider is located at 3332 BRIDGES ST SUITE B MOREHEAD CITY, NC 28557 and the phone number is (252) 633-4461.

Dermatology with taxonomy code 207NI0002X and a focus in Clinical & Laboratory Dermatological Immunology.