EASTERN DERMATOLOGY, PA
NPI 1306058672
Dermatology in New Bern, NC

Active since May 07, 2007CLIA Certified · 2 labs
941 NEWMAN RD, NEW BERN, NC 28562(252) 634-2885(252) 634-2887 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eastern Dermatology, Pa NPPES

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

EASTERN DERMATOLOGY, PA (NPI 1306058672) is a healthcare organization registered as a dermatology in New Bern, North Carolina and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Cameron Langley Smith, President, as its authorized official.

NPPES Registry Identity

NPI1306058672
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEASTERN DERMATOLOGY, PA
Location Address941 NEWMAN RDNew Bern, NC 28562-5252
Mailing Address420 Spring Forest RdGreenville, NC 27834-7244 · (252) 752-4124 · Fax (252) 758-8954
Fax(252) 634-2887
Organization SubpartNo
Authorized OfficialCameron Langley SmithPresident · (252) 752-4124
Enumeration DateMay 7, 2007
Last NPPES UpdateSeptember 25, 2012
NPI 1306058672 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.

941 NEWMAN RD, New Bern, NC 28562

Other Identifiers 3

Other01498NC · Bcbs Nc Group Number
Medicare ID-Type Unspecified230298NC · Group Number
Medicaid5902488NC

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 2

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2097022

Eastern Dermatology And Pathology, PA · Newport, NC
Active · expires Jun 7, 2027
CLIA Number34D2097022
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorJohn A. Papalas
Laboratory Phone(252) 752-4124
Laboratory LocationEastern Dermatology And Pathology, PA1840 Nc Highway 24, Newport, NC 28570
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1037270

Eastern Dermatology And Pathology, PA · Elizabeth City, NC
Active · expires Feb 20, 2027
CLIA Number34D1037270
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2025
Certificate Expiration DateFebruary 20, 2027
Laboratory DirectorJohn A. Papalas
Laboratory Phone(252) 752-4124
Laboratory LocationEastern Dermatology And Pathology, PA800 N Mcpherson Crossing, Elizabeth City, NC 27909
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 12

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

Dermatology
941 NEWMAN RD
NEW BERN, NC 28562
Physician Assistant (Medical)
941 NEWMAN RD
NEW BERN, NC 28562
Dermatology
941 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Cardiovascular Disease)
941 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Cardiovascular Disease)
941 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Cardiovascular Disease)
941 NEWMAN RD
NEW BERN, NC 28562
Physician Assistant
941 NEWMAN RD
NEW BERN, NC 28562
Internal Medicine (Interventional Cardiology)
941 NEWMAN RD
NEW BERN, NC 28562

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306058672, enumerated as an "organization" on May 07, 2007.

The provider is located at 941 NEWMAN RD NEW BERN, NC 28562 and the phone number is (252) 634-2885.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.