NOVANT HEALTH DERMATOLOGY ASSOCIATES
NPI 1114960069
Dermatology in Matthews, NC
NPI Status: Active since June 14, 2006
Contact Information
1450 MATTHEWS TOWNSHIP PKWY STE 170
MATTHEWS, NC
ZIP 28105
Phone: (704) 384-6020
Fax: (704) 384-6025
- Organization
- Dermatology
- Accepts Insurance
- CLIA Number: 34D1019854
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-01-2025
About NOVANT HEALTH DERMATOLOGY ASSOCIATES
This page provides the complete NPI Profile along with additional information for Novant Health Dermatology Associates, a provider established in Matthews, North Carolina operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1114960069 assigned on June 2006. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Novant Health Dermatology Associates operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Novant Health Dermatology Associates. The authorized official of this NPI record is Leea Jeanine Walton (Rcs Manager)
- NPI
- 1114960069
- Provider Legal Name
- NOVANT HEALTH MEDICAL GROUP, LLC
- Other Organization Name
- NOVANT HEALTH DERMATOLOGY ASSOCIATES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1450 MATTHEWS TOWNSHIP PKWY STE 170 MATTHEWS, NC 28105
- Location Phone
- (704) 384-6020
- Location Fax
- (704) 384-6025
- Mailing Address
- PO BOX 60447 CHARLOTTE, NC 28260
- Mailing Phone
- (704) 384-6020
- Mailing Fax
- (704) 384-6025
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-14-2006
- Last Update Date
- 06-19-2024
- Code Navigator
A dermatologist like Novant Health Dermatology Associates is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- NC
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Bronze Standard | Nationwide Doctors - PPO
- Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Gold Standard | Nationwide Doctors - PPO
- Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
- Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
- Blue Advantage Silver Standard | Nationwide Doctors - PPO
- Blue Care Bronze Standard | Statewide Doctors - HMO
- Blue Care Gold Standard | Statewide Doctors - HMO
- Connect Bronze 5500 Indiv Med Deductible - HMO
- Connect Bronze 6500 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 3500 Indiv Med Deductible - HMO
- Connect Silver 4400 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71098 | OTHER (01) | NC | BCBS NC |
| CC5118 | OTHER (01) | NC | RAILROAD MEDICARE |
| 5906187 | MEDICAID (05) | NC | |
| NPB227 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D1019854
- Facility Type
- Physician Office
- Certificate Effective Date
- December 02, 2023
- Certificate Expiration Date
- December 01, 2025
- Laboratory Director
- DAVID DORENFELD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Novant Health Dermatology Associates in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for NOVANT HEALTH DERMATOLOGY ASSOCIATES
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 9 | 6 | 0 | 0 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 6 | 0 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 6 + 0 + 0 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1114960069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
DR. JOHN REID M.D.
Dermatology
1450 MATTHEWS TOWNSHIP PKWY STE 170
MATTHEWS, NC
ZIP 28105
RONEA HARRIS CHAMBERS M.D.
Dermatology
1450 MATTHEWS TOWNSHIP PKWY STE 170
MATTHEWS, NC
ZIP 28105
MR. DAVID DORENFELD PA-C
Physician Assistant
1450 MATTHEWS TOWNSHIP PKWY STE 170
MATTHEWS, NC
ZIP 28105
MARILIA OLIVEIRA
Dermatology
1450 MATTHEWS TOWNSHIP PKWY STE 170
MATTHEWS, NC
ZIP 28105
NOVANT HEALTH MEDICAL GROUP, LLC
Orthopaedic Surgery
1450 MATTHEWS TOWNSHIP PKWY STE 170
MATTHEWS, NC
ZIP 28105
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114960069, enumerated as an "organization" on June 14, 2006.
The provider is located at 1450 MATTHEWS TOWNSHIP PKWY STE 170 MATTHEWS, NC 28105 and the phone number is (704) 384-6020.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Cigna. Please consult your insurance carrier or call the provider to verify.
