DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA P.A.
NPI 1235405960
Dermatology in Kinston, NC
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dermatology Associates Of Coastal Carolina P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Dermatology Associates Of Coastal Carolina P.A., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (7)
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
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, NCFrequently 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.
Is Dermatology Associates Of Coastal Carolina P.A. enrolled in Medicare?
Yes. Dermatology Associates Of Coastal Carolina P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Dermatology Associates Of Coastal Carolina P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Associates Of Coastal Carolina P.A.. 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. The largest specialties are Dermatology (5) and Nurse Practitioner (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 4 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.
# Dermatology Associates Of Coastal Carolina P.a. · NPI 1235405960
Dermatology organization in Kinston, North Carolina. Organization record, active in the CMS NPPES registry since March 27, 2012.
## Identity
- **NPI:** 1235405960 (Entity type: Organization)
- **Enumerated:** March 27, 2012
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** James Polo, OWNER
## Practice location
- **Address:** 701 DOCTORS DR STE F, Kinston, NC 28501-1584
- **Phone:** (252) 686-0991 · **Fax:** (252) 686-6810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (5), Nurse Practitioner (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 21, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235405960) · Data from the CMS NPPES public registry.