DERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC
NPI 1083700207
Dermatology in Charlotte, NC
About Dermatology Laser And Vein Specialists Of The Carolina's, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC (NPI 1083700207) is a healthcare organization registered as a dermatology in Charlotte, North Carolina and active in the NPI registry since October 2006. The organization holds 5 active CLIA laboratory certificates and lists Girish S Munavalli, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Laser And Vein Specialists Of The Carolina's, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Dermatology Laser And Vein Specialists Of The Carolina's, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 5
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) 34D2286494
Dermatology Laser And Vein Specialist Of The Carolinas · Charlotte, NCCertificate for Provider-Performed Microscopy Procedures (PPMP) 34D2306000
Dermatology Laser And Vein Specialist Of The Carolinas · Matthews, NCCertificate of Compliance 34D2165800
Dermatology Laser And Vein Specialist Of The Carolinas · Charlotte, NCCertificate of Compliance 34D2320295
Dermatology Laser & Vein Specialist Of The Carolinas · Waxhaw, NCCertificate for Provider-Performed Microscopy Procedures (PPMP) 34D2320305
Dermatology Laser & Vein Specialist Of The Carolinas · Charlotte, NCFrequently 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 Laser And Vein Specialists Of The Carolina's, PLLC's NPI number?
The NPI number for Dermatology Laser And Vein Specialists Of The Carolina's, PLLC is 1083700207. It was assigned to this organization in the NPPES registry on October 5, 2006.
Where is Dermatology Laser And Vein Specialists Of The Carolina's, PLLC located?
Dermatology Laser And Vein Specialists Of The Carolina's, PLLC is located at 1918 Randolph Rd Suite 550, Charlotte, NC 28207. The listed phone number is (704) 375-6766.
What is Dermatology Laser And Vein Specialists Of The Carolina's, PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Dermatology Laser And Vein Specialists Of The Carolina's, PLLC enrolled in Medicare?
Yes. Dermatology Laser And Vein Specialists Of The Carolina's, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Laser And Vein Specialists Of The Carolina's, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Dermatology Laser And Vein Specialists Of The Carolina's, PLLC. 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. The largest specialties are Dermatology (6), Micrographic Dermatologic Surgery (MDS) (1) and Nurse Practitioner (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Dermatology Laser And Vein Specialists Of The Carolina's, PLLC hold CLIA laboratory certificates?
Yes. 5 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.
What insurance does Dermatology Laser And Vein Specialists Of The Carolina's, PLLC accept?
Health plans from Blue Cross and Blue Shield of NC list Dermatology Laser And Vein Specialists Of The Carolina's, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dermatology Laser And Vein Specialists Of The Carolina's, PLLC was last updated on December 26, 2007. 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.
# Dermatology Laser And Vein Specialists Of The Carolina's, Pllc · NPI 1083700207
Dermatology organization in Charlotte, North Carolina. Organization record, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1083700207 (Entity type: Organization)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Girish Munavalli, MEDICAL DIRECTOR
## Practice location
- **Address:** 1918 RANDOLPH RD, SUITE 550, Charlotte, NC 28207-1100
- **Phone:** (704) 375-6766
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (6), Micrographic Dermatologic Surgery (MDS) (1), Nurse Practitioner (1); 6 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 26, 2007
- **Other identifiers:** Medicare PIN KK42 (MD)
- **CLIA laboratory certificates:** 5 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083700207) · Data from the CMS NPPES public registry.