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DERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC
NPI 1083700207
Dermatology in Charlotte, NC

Active since October 05, 2006CLIA Certified · 5 labs
1918 RANDOLPH RD, SUITE 550, CHARLOTTE, NC 28207(704) 375-6766 Get Directions Write a Review

NPPES record last updated: December 26, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1083700207
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC
Location Address1918 RANDOLPH RD, SUITE 550Charlotte, NC 28207-1100
Mailing Address1918 Randolph Rd, Suite 550Charlotte, NC 28207-1100 · (704) 375-6766
Phone(704) 375-6766
Organization SubpartNo
Authorized OfficialGirish S MunavalliMedical Director · (704) 375-6766
Enumeration DateOctober 5, 2006
Last NPPES UpdateDecember 26, 2007
✔ NPI 1083700207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
1918 RANDOLPH RD, Charlotte, NC 28207
Open in Google Maps ↗

Other Identifiers 1

Medicare PINKK42MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 6

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, NC
Active · expires Jul 30, 2027
CLIA Number34D2286494
Laboratory TypePhysician Office
Certificate Effective DateJuly 31, 2025
Certificate Expiration DateJuly 30, 2027
Laboratory DirectorGirish S. Munavalli
Laboratory Phone(704) 375-6766
Laboratory LocationDermatology Laser And Vein Specialist Of The Carolinas1918 Randolph Road, Suite 820, Charlotte, NC 28207
CLIA data matches this NPI record on: Address 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) 34D2306000

Dermatology Laser And Vein Specialist Of The Carolinas · Matthews, NC
Active · expires Jun 10, 2028
CLIA Number34D2306000
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2026
Certificate Expiration DateJune 10, 2028
Laboratory DirectorGirish S. Munavalli
Laboratory Phone(704) 375-6766
Laboratory LocationDermatology Laser And Vein Specialist Of The Carolinas101 E Matthews St Suite 600, Matthews, NC 28105
CLIA data matches this NPI record on: 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 of Compliance 34D2165800

Dermatology Laser And Vein Specialist Of The Carolinas · Charlotte, NC
Active · expires May 16, 2027
CLIA Number34D2165800
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorGirish S. Munavalli
Laboratory Phone(704) 375-6766
Laboratory LocationDermatology Laser And Vein Specialist Of The Carolinas10660 Park Rd. Ste 4150, Charlotte, NC 28210
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 34D2320295

Dermatology Laser & Vein Specialist Of The Carolinas · Waxhaw, NC
Active · expires Mar 16, 2027
CLIA Number34D2320295
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorGirish S. Munavalli
Laboratory Phone(704) 375-6766
Laboratory LocationDermatology Laser & Vein Specialist Of The Carolinas9929 Rea Road, Suite 200, Waxhaw, NC 28173
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D2320305

Dermatology Laser & Vein Specialist Of The Carolinas · Charlotte, NC
Active · expires Mar 16, 2027
CLIA Number34D2320305
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorGirish S. Munavalli
Laboratory Phone(704) 375-6766
Laboratory LocationDermatology Laser & Vein Specialist Of The CarolinasAtrium University Building 5000 101 East W T Harris Boulevard, Charlotte, NC 28262
CLIA data matches this NPI record on: 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 of Compliance 34D0243917

Dermatology Laser & Vein Specialists Of The Carolinas · Charlotte, NC
Expired · Jul 31, 2026
CLIA Number34D0243917
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorGirish S. Munavalli
Laboratory Phone(704) 375-6766
Laboratory LocationDermatology Laser & Vein Specialists Of The Carolinas1918 Randolph Road, Suite 550, Charlotte, NC 28207
CLIA data matches this NPI record on: Address 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 20

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

DR. SIMON VIVIAN WARD III M.D.
Obstetrics & Gynecology
1918 RANDOLPH RD, SUITE 670
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1620
ADAM F. SPITZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1125
JENNIFER LYNN KELSO MD
Emergency Medicine
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1050
DICK A. RICHARDS PA-C
Physician Assistant
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1050
DR. RICHARD KLEINMANN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1125
NALLE PHARMACY INC
Pharmacy (Clinic Pharmacy)
1918 RANDOLPH RD, SUITE 120
CHARLOTTE, NC 28207
Mecklenburg County (704) 342-8180
DR. WALTER WALLACE JOHNSON M.D.
Internal Medicine
1918 RANDOLPH RD, SUITE 350
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1750
DR. HEATHER GRAHAM M.D.
Obstetrics & Gynecology
1918 RANDOLPH RD, SUITE 670
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1620

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 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.

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.