EASTERN DERMATOLOGY, PA
NPI 1306058672
Dermatology in New Bern, NC
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 6 active CLIA laboratory certificates and lists Cameron Langley Smith, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Eastern Dermatology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Eastern Dermatology, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
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 6
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 Accreditation 34D0711609
Eastern Dermatology And Pathology, PA · Greenville, NCCertificate of Compliance 34D0967055
Eastern Dermatology & Pathology, PA · New Bern, NCCertificate for Provider-Performed Microscopy Procedures (PPMP) 34D2003231
Eastern Dermatology And Pathology, PA · Washington, NCCertificate for Provider-Performed Microscopy Procedures (PPMP) 34D0938068
Eastern Dermatology And Pathology, PA · Edenton, NCCertificate for Provider-Performed Microscopy Procedures (PPMP) 34D2097022
Eastern Dermatology And Pathology, PA · Newport, NCCertificate for Provider-Performed Microscopy Procedures (PPMP) 34D1037270
Eastern Dermatology And Pathology, PA · Elizabeth City, 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 Eastern Dermatology, PA's NPI number?
The NPI number for Eastern Dermatology, PA is 1306058672. It was assigned to this organization in the NPPES registry on May 7, 2007.
Where is Eastern Dermatology, PA located?
Eastern Dermatology, PA is located at 941 Newman Rd, New Bern, NC 28562. The listed phone number is (252) 634-2885.
What is Eastern Dermatology, PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Eastern Dermatology, PA enrolled in Medicare?
Yes. Eastern Dermatology, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastern Dermatology, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Eastern Dermatology, PA. 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 (10), Nurse Practitioner (3) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eastern Dermatology, PA hold CLIA laboratory certificates?
Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Eastern Dermatology, PA was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Eastern Dermatology, Pa · NPI 1306058672
Dermatology organization in New Bern, North Carolina. Organization record, active in the CMS NPPES registry since May 7, 2007.
## Identity
- **NPI:** 1306058672 (Entity type: Organization)
- **Enumerated:** May 7, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Cameron Smith, PRESIDENT
## Practice location
- **Address:** 941 NEWMAN RD, New Bern, NC 28562-5252
- **Phone:** (252) 634-2885 · **Fax:** (252) 634-2887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (10), Nurse Practitioner (3), Micrographic Dermatologic Surgery (MDS) (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 25, 2012
- **Other identifiers:** Other 01498 (NC); Medicare ID-Type Unspecified 230298 (NC); Medicaid 5902488 (NC)
- **CLIA laboratory certificates:** 6 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306058672) · Data from the CMS NPPES public registry.