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NEWPORT DERMATOLOGY PLLC
NPI 1093063216
Clinic/Center in Newport, NC

Active since August 20, 2012CLIA 34D2290281 · Microscopy
285 HOWARD BLVD, NEWPORT, NC 28570(252) 223-3405(252) 223-4216 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Newport Dermatology Pllc NPPES

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

NEWPORT DERMATOLOGY PLLC (NPI 1093063216), doing business as Newport Dermatology, is a healthcare organization registered as a clinic/center in Newport, North Carolina and active in the NPI registry since August 2012. The organization holds a CLIA Microscopy certificate valid through June 30, 2027 and lists Maurice Dana, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1093063216
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNEWPORT DERMATOLOGY PLLC
Location Address285 HOWARD BLVDNewport, NC 28570-7927
Mailing AddressPo Box 1689Newport, NC 28570-1689 · (252) 223-4054 · Fax (252) 223-4216
Phone(252) 223-3405
Fax(252) 223-4216
Organization SubpartNo
Authorized OfficialMaurice DanaSole Member · (252) 223-4054
Enumeration DateAugust 20, 2012
Last NPPES UpdateOctober 30, 2013
✔ NPI 1093063216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NC · 30120
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
285 HOWARD BLVD, Newport, NC 28570
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Other Names 1

Former Legal Business NameNewport Dermatology

Other Identifiers 3

Medicare UPINC83446
Medicaid8926870NC
Medicare PINC355NC

CLIA Laboratory Certificates CMS CLIA

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) 34D2290281

Newport Dermatology Clinic, PLLC · Newport, NC
Active · expires Jun 30, 2027
CLIA Number34D2290281
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorDr. Brett T. Summey
Laboratory Phone(252) 223-4054
Laboratory LocationNewport Dermatology Clinic, PLLC285 Howard Blvd, Newport, NC 28570
CLIA data matches this NPI record on: Address 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.

NEWPORT DERMATOLOGY CLINIC, PLLC
Dermatology
285 HOWARD BLVD
NEWPORT, NC 28570
Carteret County (252) 223-4054
MAURICE DANA
Clinic/Center (Medical Specialty)
285 HOWARD BLVD
NEWPORT, NC 28570
Carteret County (252) 223-4054

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 Newport Dermatology PLLC's NPI number?

The NPI number for Newport Dermatology PLLC is 1093063216. It was assigned to this organization in the NPPES registry on August 20, 2012. The provider was formerly known as Newport Dermatology.

Where is Newport Dermatology PLLC located?

Newport Dermatology PLLC is located at 285 Howard Blvd, Newport, NC 28570. The listed phone number is (252) 223-3405.

What is Newport Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Newport Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2290281) is associated with this NPI, valid through June 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newport Dermatology PLLC was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.