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

Active since May 07, 2007CLIA Certified · 5 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: August 09, 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 5 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
Phone(252) 634-2885
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
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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 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, NC
Active · expires Jun 4, 2027
CLIA Number34D0711609
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorDr. John A. Papalas
Laboratory Phone(252) 752-4124
Laboratory LocationEastern Dermatology And Pathology, PA420 Spring Forest Road, Greenville, NC 27834
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D2003231

Eastern Dermatology And Pathology, PA · Washington, NC
Active · expires Feb 3, 2028
CLIA Number34D2003231
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorEric R. Howell
Laboratory Phone(252) 752-4124
Laboratory LocationEastern Dermatology And Pathology, PA142 Avon Avenue, Washington, NC 27889
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) 34D0938068

Eastern Dermatology And Pathology, PA · Edenton, NC
Active · expires Dec 29, 2027
CLIA Number34D0938068
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorJohn A. Papalas
Laboratory Phone(252) 752-4124
Laboratory LocationEastern Dermatology And Pathology, PA204 Earnhardt Drive, Edenton, NC 27932
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) 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.

Certificate of Compliance 34D0967055

Eastern Dermatology And Pathology, PA · New Bern, NC
Expired · Jul 31, 2026
CLIA Number34D0967055
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorChristopher B. Mizelle
Laboratory Phone(252) 752-4124
Laboratory LocationEastern Dermatology And Pathology, PA3311 Trent Road, New Bern, NC 28562
CLIA data matches this NPI record on: 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 12

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

DR. TODD BRANDON NELSON
Dermatology
941 NEWMAN RD
NEW BERN, NC 28562
Craven County (252) 634-2885
JOHN T RIGGS PA-C
Physician Assistant (Medical)
941 NEWMAN RD
NEW BERN, NC 28562
Craven County (252) 752-4124
COASTAL CAROLINA HEALTH CARE PA
Internal Medicine
941 NEWMAN RD
NEW BERN, NC 28562
Craven County (252) 639-5955
DR. CHRISTOPHER B MIZELLE MD
Dermatology
941 NEWMAN RD
NEW BERN, NC 28562
Craven County (252) 752-4124
MICHAEL CARLYLE CASCIELLO M.D.
Internal Medicine (Cardiovascular Disease)
941 NEWMAN RD
NEW BERN, NC 28562
Craven County (252) 634-3278
ANDREW ARTHUR WIN MD
Internal Medicine (Cardiovascular Disease)
941 NEWMAN RD
NEW BERN, NC 28562
Craven County (252) 634-3278
TASKEEN MIDGETTE AGNP
Nurse Practitioner (Gerontology)
941 NEWMAN RD
NEW BERN, NC 28562
Craven County (252) 634-3278
REBECCA SIMPSON TOLER FNP-C
Nurse Practitioner (Family)
941 NEWMAN RD
NEW BERN, NC 28562
Craven County (252) 639-5955

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 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.

Does Eastern Dermatology, PA hold CLIA laboratory certificates?

Yes. 5 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 13 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.