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

Active since February 25, 2013CLIA Certified · 2 labs
3332 BRIDGES ST, SUITE B, MOREHEAD CITY, NC 28557(252) 633-4461(252) 633-6016 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dermatology Associates Of Coastal Carolina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA (NPI 1023358231) is a healthcare organization registered as a clinical & laboratory dermatological immunology in Morehead City, North Carolina and active in the NPI registry since February 2013. The organization holds 2 active CLIA laboratory certificates and lists James Polo, President/owner, as its authorized official.

NPPES Registry Identity

NPI1023358231
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NameDERMATOLOGY ASSOCIATES OF COASTAL CAROLINA
Location Address3332 BRIDGES ST, SUITE BMorehead City, NC 28557-3280
Mailing AddressPo Box 890283Charlotte, NC 28289-0283 · (252) 633-4461 · Fax (252) 633-6016
Phone(252) 633-4461
Fax(252) 633-6016
Organization SubpartNo
Authorized OfficialJames PoloPresident/owner · (252) 633-4461
Enumeration DateFebruary 25, 2013
Last NPPES UpdateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1023358231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
Definition
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.
3332 BRIDGES ST, Morehead City, NC 28557
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D2057330

Dermatology Associates Of Coastal Carolina · Morehead City, NC
Active · expires Aug 25, 2026
CLIA Number34D2057330
Laboratory TypePractitioner Other
Certificate Effective DateAugust 26, 2024
Certificate Expiration DateAugust 25, 2026
Laboratory DirectorScott D. Mcclellan
Laboratory Phone(252) 622-4378
Laboratory LocationDermatology Associates Of Coastal Carolina3332 Bridges Street, Morehead City, NC 28557
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 34D1028808

Dermatology Associates Of Coastal Carolina New Bern · New Bern, NC
Active · expires Jan 10, 2028
CLIA Number34D1028808
Laboratory TypePhysician Office
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorScott D. Mcclellan
Laboratory Phone(252) 633-4461
Laboratory LocationDermatology Associates Of Coastal Carolina New Bern2115 Neuse Boulevard, New Bern, NC 28560
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RHA HEALTH SERVICES INC
Community/Behavioral Health
3332 BRIDGES ST, SUITE 3A
MOREHEAD CITY, NC 28557
Carteret County (252) 808-0052
MAXIM HABILITATION SERVICES, LLC
Day Training, Developmentally Disabled Services
3332 BRIDGES ST, SUITE 1-A
MOREHEAD CITY, NC 28557
Carteret County (252) 726-8746
LECHRIS COUNSELING SERVICES, INC.
Community/Behavioral Health
3332 BRIDGES ST
MOREHEAD CITY, NC 28557
Carteret County (252) 726-9006
DR. RUTH PINNIX COX NP
Nurse Practitioner (Psychiatric/Mental Health)
3332 BRIDGES ST
MOREHEAD CITY, NC 28557
Carteret County (252) 726-9006
PHYLLIS CHRISTINE SMITH LMFTA
Marriage & Family Therapist
3332 BRIDGES ST, SUITE 3A
MOREHEAD CITY, NC 28557
Carteret County (888) 557-1675
MRS. SHARON GREENWAY IRVING APRN,BC
Nurse Practitioner (Family)
3332 BRIDGES ST, SUITE A
MOREHEAD CITY, NC 28557
Carteret County (252) 726-9006
RHA HEALTH SERVICES, INC.
Community/Behavioral Health
3332 BRIDGES ST
MOREHEAD CITY, NC 28557
Carteret County (252) 808-0052
TIA RENEE CROOMS LMFT
Marriage & Family Therapist
3332 BRIDGES ST, SUITE 3A
MOREHEAD CITY, NC 28557
Carteret County (888) 557-1675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dermatology Associates Of Coastal Carolina's NPI number?

The NPI number for Dermatology Associates Of Coastal Carolina is 1023358231. It was assigned to this organization in the NPPES registry on February 25, 2013.

Where is Dermatology Associates Of Coastal Carolina located?

Dermatology Associates Of Coastal Carolina is located at 3332 Bridges St Suite B, Morehead City, NC 28557. The listed phone number is (252) 633-4461.

What is Dermatology Associates Of Coastal Carolina's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

Does Dermatology Associates Of Coastal Carolina hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Dermatology Associates Of Coastal Carolina was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.