THE SKIN & WELLNESS CENTER PLLC
NPI 1104668219
Physician Assistant in Bladenboro, NC

Active since June 10, 2024
125 S MAIN ST STE A, BLADENBORO, NC 28320(910) 809-0030 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2024, Jul 5, 2024, Jun 13, 2024 (3 updates tracked since 2024).

About The Skin & Wellness Center Pllc NPPES

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

THE SKIN & WELLNESS CENTER PLLC (NPI 1104668219) is a healthcare organization registered as a physician assistant in Bladenboro, North Carolina and active in the NPI registry since June 2024. The organization lists Crystal Edwards, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1104668219
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameTHE SKIN & WELLNESS CENTER PLLC
Location Address125 S MAIN ST STE ABladenboro, NC 28320-8440
Mailing AddressPo Box 88, 125 S Main St Suite ABladenboro, NC 28320 · (910) 809-0030
Organization SubpartNo
Authorized OfficialCrystal EdwardsOwner/provider · (910) 809-0030
Enumeration DateJune 10, 2024
Last NPPES UpdateAugust 29, 20243 updates tracked since enumeration
NPPES CertifiedAugust 29, 2024
NPI 1104668219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
125 S MAIN ST STE A, Bladenboro, NC 28320

Other Identifiers 1

Medicaid1992795041NC

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

Other Providers at the Same Location NPPES

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

Physician Assistant
125 S MAIN ST STE A
BLADENBORO, NC 28320

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 The Skin & Wellness Center PLLC's NPI number?

The NPI number for The Skin & Wellness Center PLLC is 1104668219. It was assigned to this organization in the NPPES registry on June 10, 2024.

Where is The Skin & Wellness Center PLLC located?

The Skin & Wellness Center PLLC is located at 125 S Main St Ste A, Bladenboro, NC 28320. The listed phone number is (910) 809-0030.

What is The Skin & Wellness Center PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does The Skin & Wellness Center PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list The Skin & Wellness 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 The Skin & Wellness Center PLLC was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.