MID ATLANTIC DERMATOLOGY
NPI 1073605333
Dermatology in Chesapeake, VA
About Mid Atlantic Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID ATLANTIC DERMATOLOGY (NPI 1073605333) is a healthcare organization registered as a dermatology in Chesapeake, Virginia and active in the NPI registry since September 2006. The organization lists Rose Ann Waller, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid Atlantic Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mid Atlantic Dermatology, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mid Atlantic Dermatology's NPI number?
The NPI number for Mid Atlantic Dermatology is 1073605333. It was assigned to this organization in the NPPES registry on September 28, 2006.
Where is Mid Atlantic Dermatology located?
Mid Atlantic Dermatology is located at 109 Wimbledon Sq Suite E, Chesapeake, VA 23320. The listed phone number is (757) 547-9830.
What is Mid Atlantic Dermatology's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Mid Atlantic Dermatology enrolled in Medicare?
Yes. Mid Atlantic Dermatology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mid Atlantic Dermatology?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Mid Atlantic Dermatology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mid Atlantic Dermatology was last updated on July 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.