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GLASS DERMATOLOGY PLLC
NPI 1184299034
Clinic/Center - Medical Specialty in Clinton, NC

Active since May 24, 2021CLIA 34D2254938 · Certificate of Compliance
412 E JOHNSON ST, CLINTON, NC 28328(910) 490-1240(910) 490-1260 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2022, May 24, 2021 (2 updates tracked since 2021).

About Glass Dermatology Pllc NPPES

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

GLASS DERMATOLOGY PLLC (NPI 1184299034) is a healthcare organization registered as a medical specialty in Clinton, North Carolina and active in the NPI registry since May 2021. The organization holds a CLIA Certificate of Compliance certificate valid through June 3, 2028 and lists Alexandria B Glass, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1184299034
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameGLASS DERMATOLOGY PLLC
Location Address412 E JOHNSON STClinton, NC 28328-2806
Mailing Address412 E Johnson StClinton, NC 28328-2806 · (910) 490-1240 · Fax (910) 490-1260
Phone(910) 490-1240
Fax(910) 490-1260
Organization SubpartNo
Authorized OfficialAlexandria B GlassPhysician/owner · (910) 990-7722
Enumeration DateMay 24, 2021
Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
✔ NPI 1184299034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Also ListedDermatologyTaxonomy 207N00000X
412 E JOHNSON ST, Clinton, NC 28328
Open in Google Maps ↗

Other Identifiers 1

Other202101095NC · Nc Medical License

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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 34D2254938

Glass Dermatology PLLC · Clinton, NC
Active · expires Jun 3, 2028
CLIA Number34D2254938
Laboratory TypePhysician Office
Certificate Effective DateJune 4, 2026
Certificate Expiration DateJune 3, 2028
Laboratory DirectorAlexandria B. Glass
Laboratory Phone(910) 490-1240
Laboratory LocationGlass Dermatology PLLC412 East Johnson Street, Clinton, NC 28328
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.

ALEXANDRIA BASS GLASS D.O.
Dermatology
412 E JOHNSON ST
CLINTON, NC 28328
Sampson County (910) 490-1240
MATTHEW JAMES HEWETSON PA-C
Physician Assistant
412 E JOHNSON ST
CLINTON, NC 28328
Sampson County (910) 490-1240
LAUREN BURKE PA-C
Physician Assistant
412 E JOHNSON ST
CLINTON, NC 28328
Sampson County (910) 490-1240

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 Glass Dermatology PLLC's NPI number?

The NPI number for Glass Dermatology PLLC is 1184299034. It was assigned to this organization in the NPPES registry on May 24, 2021.

Where is Glass Dermatology PLLC located?

Glass Dermatology PLLC is located at 412 E Johnson St, Clinton, NC 28328. The listed phone number is (910) 490-1240.

What is Glass Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Glass Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D2254938) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glass Dermatology PLLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Glass Dermatology 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 Glass Dermatology PLLC was last updated on March 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.