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WILSON DERMATOLOGY CLINIC PA
NPI 1174589345
Clinic/Center in Wilson, NC

Active since April 25, 2006CLIA 34D0241840 · Certificate of Compliance
2874 WARD BLVD, WILSON, NC 27893(252) 291-5600(252) 291-6935 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wilson Dermatology Clinic Pa NPPES

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

WILSON DERMATOLOGY CLINIC PA (NPI 1174589345) is a healthcare organization registered as a clinic/center in Wilson, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 26, 2027 and lists David W Corbett, Owner, as its authorized official.

NPPES Registry Identity

NPI1174589345
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWILSON DERMATOLOGY CLINIC PA
Location Address2874 WARD BLVDWilson, NC 27893-1761
Mailing Address2874 Ward BlvdWilson, NC 27893-1761 · (252) 291-5600 · Fax (252) 291-6935
Phone(252) 291-5600
Fax(252) 291-6935
Organization SubpartNo
Authorized OfficialDavid W CorbettOwner · (252) 291-5600
Enumeration DateApril 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174589345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2874 WARD BLVD, Wilson, NC 27893
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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 34D0241840

Wilson Dermatology PA · Wilson, NC
Active · expires Dec 26, 2027
CLIA Number34D0241840
Laboratory TypePhysician Office
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorEvan P. Stiegel
Laboratory Phone(252) 291-5600
Laboratory LocationWilson Dermatology PA2874 Ward Blvd, Wilson, NC 27893
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.

Other Providers at the Same Location NPPES 3

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

MR. DAVID WAYNE PATTERSON MPA, PA-C
Physician Assistant
2874 WARD BLVD
WILSON, NC 27893
Wilson County (252) 291-5600
MR. NATHAN BARRETT WRIGHT PA-C
Physician Assistant
2874 WARD BLVD
WILSON, NC 27893
Wilson County (252) 291-5600
DAVID CORBETT DO
Specialist
2874 WARD BLVD
WILSON, NC 27893
Wilson County (252) 291-5600

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 Wilson Dermatology Clinic PA's NPI number?

The NPI number for Wilson Dermatology Clinic PA is 1174589345. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Wilson Dermatology Clinic PA located?

Wilson Dermatology Clinic PA is located at 2874 Ward Blvd, Wilson, NC 27893. The listed phone number is (252) 291-5600.

What is Wilson Dermatology Clinic PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Wilson Dermatology Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0241840) is associated with this NPI, valid through December 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wilson Dermatology Clinic PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.