PEAK SKIN CENTER PLLC
NPI 1093408882
Dermatology - MOHS-Micrographic Surgery in Fuquay Varina, NC

Q: What is Peak Skin Center PLLC's NPI number?

The NPI number for Peak Skin Center PLLC is 1093408882. It was assigned to this organization in the NPPES registry on May 30, 2023.

Q: What is Peak Skin Center PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since May 30, 2023CLIA 34D2285572 · Certificate of Compliance

1006 PROCURE ST STE 100, FUQUAY VARINA, NC 27526(919) 762-6845(919) 762-6865 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Peak Skin Center Pllc NPPES

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

PEAK SKIN CENTER PLLC (NPI 1093408882) is a healthcare organization registered as a mohs-micrographic surgery in Fuquay Varina, North Carolina and active in the NPI registry since May 2023. The organization holds a CLIA Certificate of Compliance certificate valid through December 9, 2026 and lists Thomas Knackstedt, Owner, as its authorized official.

NPPES Registry Identity

NPI1093408882

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NamePEAK SKIN CENTER PLLC

Location Address1006 PROCURE ST STE 100Fuquay Varina, NC 27526-2627

Mailing Address1006 Procure St Ste 100Fuquay Varina, NC 27526-2627 · (919) 762-6845 · Fax (919) 762-6865

Phone(919) 762-6845

Fax(919) 762-6865

Organization SubpartNo

Authorized OfficialThomas KnackstedtOwner · (919) 762-6845

Enumeration DateMay 30, 2023

Last NPPES UpdateOctober 13, 2025

NPPES CertifiedOctober 13, 2025

✔ NPI 1093408882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

1006 PROCURE ST STE 100, Fuquay Varina, NC 27526

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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peak Skin Center Pllc 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 Peak Skin Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Thomas Knackstedt, M.D.

Dermatology

NPI 1447545603

1006 PROCURE ST STE 100
Fuquay Varina, NC 27526

(919) 762-6845

✔ PECOS✔ Accepts MedicareSame address

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

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 of Compliance 34D2285572

Peak Skin Center, PLLC · Fuquay Varina, NC

Active · expires Dec 9, 2026

CLIA Number34D2285572

Laboratory TypePhysician Office

Certificate Effective DateDecember 10, 2024

Certificate Expiration DateDecember 9, 2026

Laboratory DirectorThomas J. Knackstedt

Laboratory Phone(919) 762-6845

Laboratory LocationPeak Skin Center, PLLC1006 Procure Street, Suite 100, Fuquay Varina, NC 27526

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Peak Skin Center PLLC's NPI number?

The NPI number for Peak Skin Center PLLC is 1093408882. It was assigned to this organization in the NPPES registry on May 30, 2023.

Where is Peak Skin Center PLLC located?

Peak Skin Center PLLC is located at 1006 Procure St Ste 100, Fuquay Varina, NC 27526. The listed phone number is (919) 762-6845.

What is Peak Skin Center PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Peak Skin Center PLLC enrolled in Medicare?

Yes. Peak Skin Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peak Skin Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Peak Skin Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Peak Skin Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D2285572) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peak Skin Center PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Peak Skin Center 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 Peak Skin Center PLLC was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.