COLLIN-JAMAL SMITH
NPI 1093335820
Dermatology in Chapel Hill, NC

Q: What is Collin-jamal Smith's NPI number?

The NPI number for Collin-jamal Smith is 1093335820. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Q: What is Collin-jamal Smith's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment

102 MASON FARM RD, CHAPEL HILL, NC 27514(984) 974-4462(919) 843-9355 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2024, Dec 4, 2023, Apr 22, 2020 (3 updates tracked since 2020).

On this page

About Collin-jamal Smith NPPES

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

COLLIN-JAMAL SMITH (NPI 1093335820) is an individual dermatology provider in Chapel Hill, North Carolina, licensed in North Carolina (2023-03374) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Burlington, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2020).

NPPES Registry Identity

NPI1093335820

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameCOLLIN-JAMAL SMITH

Location Address102 MASON FARM RDChapel Hill, NC 27514-4617

Mailing Address102 Mason Farm RdChapel Hill, NC 27514-4617 · (984) 974-4462 · Fax (919) 843-9355

Phone(984) 974-4462

Fax(919) 843-9355

Sole ProprietorYes

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2020

Enumeration DateApril 22, 2020

Last NPPES UpdateJune 4, 20243 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1093335820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NC · 2023-03374

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 261580 (NC)

102 MASON FARM RD, Chapel Hill, NC 27514

Open in Google Maps ↗

Secondary Practice Location 1

Location 11734 Westbrook AveBurlington, NC 27215-8721 · Phone (336) 584-5801 · Fax (336) 584-5860

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Collin-jamal Smith is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012348360

PECOS Enrollment IDI20240614000008

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Collin-jamal Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moses Cone Physician Services, Inc.

27 mi

Surgery

1041 KIRKPATRICK RD STE 150
Burlington, NC 27215

Reassigned Medicare billing, North Carolina enrollment
691 clinicians in this Medicare group

NPI 1164980546 (336) 538-1888

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

133 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

60 services57 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

43 services42 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

38 services34 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

37 services33 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

32 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KELSI MICHELLE KAZMIERCZAK PT

Physical Therapist