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PREMIER DERMATOLOGY & MOHS SURGERY CENTER
NPI 1124094867
Dermatology in Manhattan, KS

Active since February 23, 2006CLIA Certified · 5 labs
2735 PEMBROOK PL, MANHATTAN, KS 66502(785) 537-4990(785) 537-1938 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2023, May 18, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Premier Dermatology & Mohs Surgery Center NPPES

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

PREMIER DERMATOLOGY & MOHS SURGERY CENTER (NPI 1124094867) is a healthcare organization registered as a dermatology in Manhattan, Kansas and active in the NPI registry since February 2006. The organization holds 5 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists John R Adams, President, as its authorized official.

NPPES Registry Identity

NPI1124094867
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY AND SKIN CANCER CENTER, PA
Location Address2735 PEMBROOK PLManhattan, KS 66502-7482
Mailing Address2735 Pembrook PlaceManhattan, KS 66502 · (785) 537-4990 · Fax (785) 537-1938
Phone(785) 537-4990
Fax(785) 537-1938
Organization SubpartNo
Authorized OfficialJohn R AdamsPresident · (785) 537-4990
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJune 7, 20234 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1124094867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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 ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
2735 PEMBROOK PL, Manhattan, KS 66502
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Other Names 2

Other NamePremier Dermatology & Mohs Surgery Center
Other NameEmporia Dermatology And Skin Cancer Center Llc

Secondary Practice Locations 6

Location 1210 W 13th StOttawa, KS 66067-3545 · Phone (785) 521-7111 · Fax (620) 208-9335
Location 2747 N Burlington Ave Ste 312Hastings, NE 68901-4478 · Phone (402) 462-4872 · Fax (402) 484-6253
Location 3820 N Webb Rd Ste 104Grand Island, NE 68803-3325 · Phone (308) 384-0133 · Fax (402) 484-6253
Location 41015 Elmhurst BlvdSalina, KS 67401-7403 · Phone (785) 376-6400 · Fax (785) 914-5054
Location 52509 W 18th AveEmporia, KS 66801-6105 · Phone (620) 341-9335 · Fax (620) 208-9335
Location 62908 W 39th St Ste DKearney, NE 68845-1245 · Phone (370) 270-1100

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska.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)

Premier Dermatology & Mohs Surgery Center 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 Premier Dermatology & Mohs Surgery Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Adams, MD
Dermatology
NPI 1891798245
2735 PEMBROOK PL
Manhattan, KS 66502
(785) 537-4990
✔ 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 5

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 17D0924251

Advanced Dermatology And Skin Cancer Center PA · Manhattan, KS
Active · expires Apr 23, 2027
CLIA Number17D0924251
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorJohn R. Adams
Laboratory Phone(785) 537-4990
Laboratory LocationAdvanced Dermatology And Skin Cancer Center PA2735 Pembrook Place, Manhattan, KS 66502
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.

Certificate of Compliance 17D2133901

Advanced Dermatology And Skin Cancer Center, PA · Emporia, KS
Active · expires Mar 4, 2027
CLIA Number17D2133901
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2025
Certificate Expiration DateMarch 4, 2027
Laboratory DirectorJohn R. Adams
Laboratory Phone(620) 341-9335
Laboratory LocationAdvanced Dermatology And Skin Cancer Center, PA2509 W 18th Avenue, Emporia, KS 66801
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.

Certificate of Compliance 28D2191027

Advanced Dermatology And Skin Cancer Center PA Dba Dba Premier Dermatology Skin Cancer Specialties PC · Grand Island, NE
Active · expires Feb 10, 2027
CLIA Number28D2191027
Laboratory TypePhysician Office
Certificate Effective DateFebruary 11, 2025
Certificate Expiration DateFebruary 10, 2027
Laboratory DirectorDr. John R. Adams
Laboratory Phone(308) 384-0133
Laboratory LocationAdvanced Dermatology And Skin Cancer Center PA Dba Dba Premier Dermatology Skin Cancer Specialties PC820 N Webb Road Suite 104, Grand Island, NE 68803
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.

Certificate of Compliance 28D2302952

Advanced Dermatology And Skin Cancer Center, PA Dba Premier Dermatology Skin Cancer Specialists PC · Kearney, NE
Active · expires Dec 3, 2026
CLIA Number28D2302952
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2024
Certificate Expiration DateDecember 3, 2026
Laboratory DirectorJohn R. Adams
Laboratory Phone(308) 270-1100
Laboratory LocationAdvanced Dermatology And Skin Cancer Center, PA Dba Premier Dermatology Skin Cancer Specialists PC2908 W 39th Street Suite D, Kearney, NE 68845
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 28D2190848

Advanced Dermatology And Skin Cancer, PA Dba Premier Dermatology Skin Cancer Specialists, PC · Hastings, NE
Active · expires Mar 18, 2027
CLIA Number28D2190848
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2025
Certificate Expiration DateMarch 18, 2027
Laboratory DirectorDr. John R. Adams
Laboratory Phone(402) 462-4872
Laboratory LocationAdvanced Dermatology And Skin Cancer, PA Dba Premier Dermatology Skin Cancer Specialists, PC747 N Burlington Avenue, Suite 312, Hastings, NE 68901
CLIA data matches this NPI record on: Address 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 Advanced Dermatology And Skin Cancer Center, PA's NPI number?

The NPI number for Advanced Dermatology And Skin Cancer Center, PA is 1124094867. It was assigned to this organization in the NPPES registry on February 23, 2006. The provider is also known as Premier Dermatology & Mohs Surgery Center and Emporia Dermatology and Skin Cancer Center LLC.

Where is Advanced Dermatology And Skin Cancer Center, PA located?

Advanced Dermatology And Skin Cancer Center, PA is located at 2735 Pembrook Pl, Manhattan, KS 66502. The listed phone number is (785) 537-4990.

What is Advanced Dermatology And Skin Cancer Center, PA's specialty?

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

Is Advanced Dermatology And Skin Cancer Center, PA enrolled in Medicare?

Yes. Advanced Dermatology And Skin Cancer Center, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology And Skin Cancer Center, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Advanced Dermatology And Skin Cancer Center, PA. 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 Advanced Dermatology And Skin Cancer Center, PA hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Advanced Dermatology And Skin Cancer Center, PA accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Nebraska list Advanced Dermatology And Skin Cancer Center, PA 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 Advanced Dermatology And Skin Cancer Center, PA was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.