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JAMES RIVER DERMATOLOGY PLLC
NPI 1023550654
Dermatology - Procedural Dermatology in Mechanicsville, VA

Active since November 14, 2016CLIA Certified · 2 labs
6372 MECHANICSVILLE TPKE STE 103, MECHANICSVILLE, VA 23111(804) 379-0116(804) 379-1088 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2018, Nov 14, 2016 (2 updates tracked since 2016).

About James River Dermatology Pllc NPPES

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

JAMES RIVER DERMATOLOGY PLLC (NPI 1023550654) is a healthcare organization registered as a procedural dermatology in Mechanicsville, Virginia and active in the NPI registry since November 2016. The organization holds 2 active CLIA laboratory certificates and lists Laura Regan, Physician, as its authorized official.

NPPES Registry Identity

NPI1023550654
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameJAMES RIVER DERMATOLOGY PLLC
Location Address6372 MECHANICSVILLE TPKE STE 103Mechanicsville, VA 23111
Mailing AddressPo Box 72605North Chesterfield, VA 23235-8017 · (804) 379-0116 · Fax (804) 379-1088
Phone(804) 379-0116
Fax(804) 379-1088
Organization SubpartYes
Authorized OfficialLaura ReganPhysician · (804) 379-0116
Enumeration DateNovember 14, 2016
Last NPPES UpdateSeptember 7, 20182 updates tracked since enumeration
✔ NPI 1023550654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License✔ Licensed in VA · 0101238821
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
6372 MECHANICSVILLE TPKE STE 103, Mechanicsville, VA 23111
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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) 49D2123574

James River Dermatology · Mechanicsville, VA
Active · expires Aug 7, 2027
CLIA Number49D2123574
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorLaura E. Regan
Laboratory Phone(804) 379-0116
Laboratory LocationJames River Dermatology6372 Mechanicsville Turnpike - Suite 101, Mechanicsville, VA 23111
CLIA data matches this NPI record on: Name Phone
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 for Provider-Performed Microscopy Procedures (PPMP) 49D1098739

James River Dermatology · Midlothian, VA
Active · expires Nov 19, 2026
CLIA Number49D1098739
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorLaura E. Regan
Laboratory Phone(804) 379-0116
Laboratory LocationJames River Dermatology1316 Alverser Plaza, Midlothian, VA 23113
CLIA data matches this NPI record on: Name Phone
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.

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL CRAIG WHITE M.D.
Dermatology
6372 MECHANICSVILLE TPKE STE 103
MECHANICSVILLE, VA 23111
Hanover County (804) 379-0116
MRS. LESLIE MAYS FARR FNP-BC
Nurse Practitioner (Family)
6372 MECHANICSVILLE TPKE STE 103
MECHANICSVILLE, VA 23111
Hanover County (804) 379-0116

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 James River Dermatology PLLC's NPI number?

The NPI number for James River Dermatology PLLC is 1023550654. It was assigned to this organization in the NPPES registry on November 14, 2016.

Where is James River Dermatology PLLC located?

James River Dermatology PLLC is located at 6372 Mechanicsville Tpke Ste 103, Mechanicsville, VA 23111. The listed phone number is (804) 379-0116.

What is James River Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does James River Dermatology PLLC 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 James River Dermatology PLLC was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.