DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA P.A.
NPI 1235405960
Dermatology in Kinston, NC

Active since March 27, 2012CLIA 34D2041225 · Certificate of Compliance
701 DOCTORS DR STE F, KINSTON, NC 28501(252) 686-0991(252) 686-6810 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dermatology Associates Of Coastal Carolina P.a. NPPES

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

DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA P.A. (NPI 1235405960) is a healthcare organization registered as a dermatology in Kinston, North Carolina and active in the NPI registry since March 2012. The organization holds a CLIA Certificate of Compliance certificate valid through July 1, 2027 and lists James M Polo, Owner, as its authorized official.

NPPES Registry Identity

NPI1235405960
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY ASSOCIATES OF COASTAL CAROLINA P.A.
Location Address701 DOCTORS DR STE FKinston, NC 28501-1584
Mailing AddressPo Box 890283Charlotte, NC 28289-0283 · (252) 633-4461 · Fax (252) 633-6016
Fax(252) 686-6810
Organization SubpartNo
Authorized OfficialJames M PoloOwner · (252) 633-4461
Enumeration DateMarch 27, 2012
Last NPPES UpdateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
NPI 1235405960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
701 DOCTORS DR STE F, Kinston, NC 28501

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

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 34D2041225

Dermatology Associates Of Coastal Carolina Kinston · Kinston, NC
Active · expires Jul 1, 2027
CLIA Number34D2041225
Laboratory TypePractitioner Other
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorScott D. Mcclellan
Laboratory Phone(252) 686-0991
Laboratory LocationDermatology Associates Of Coastal Carolina Kinston701 Doctors Drive, Suite F, Kinston, NC 28501
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.

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
701 DOCTORS DR STE F
KINSTON, NC 28501

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 Dermatology Associates Of Coastal Carolina P.A.'s NPI number?

The NPI number for Dermatology Associates Of Coastal Carolina P.A. is 1235405960. It was assigned to this organization in the NPPES registry on March 27, 2012.

Where is Dermatology Associates Of Coastal Carolina P.A. located?

Dermatology Associates Of Coastal Carolina P.A. is located at 701 Doctors Dr Ste F, Kinston, NC 28501. The listed phone number is (252) 686-0991.

What is Dermatology Associates Of Coastal Carolina P.A.'s specialty?

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

Does Dermatology Associates Of Coastal Carolina P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D2041225) is associated with this NPI, valid through July 1, 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 Dermatology Associates Of Coastal Carolina P.A. was last updated on September 21, 2022. 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.