1. Home
  2. Directory
  3. North Carolina
  4. High Point
  5. Dermatology
  6. NPI Profile

CENTRAL CAROLINA DERMATOLOGY CLINIC, INC
NPI 1316943145
Dermatology - Clinical & Laboratory Dermatological Immunology in High Point, NC

Active since June 27, 2005CLIA 34D0238143 · Certificate of Compliance
4010 MENDENHALL OAKS PKWY, HIGH POINT, NC 27265(336) 887-3195(336) 887-3194 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Central Carolina Dermatology Clinic, Inc NPPES

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

CENTRAL CAROLINA DERMATOLOGY CLINIC, INC (NPI 1316943145) is a healthcare organization registered as a clinical & laboratory dermatological immunology in High Point, North Carolina and active in the NPI registry since June 2005. The organization holds a CLIA Certificate of Compliance certificate valid through June 2, 2027 and lists Kristine N Kearns, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1316943145
Entity TypeOrganization
Primary Taxonomy207NI0002X
Legal Business NameCENTRAL CAROLINA DERMATOLOGY CLINIC, INC
Location Address4010 MENDENHALL OAKS PKWYHigh Point, NC 27265-8076
Mailing Address4010 Mendenhall Oaks PkwyHigh Point, NC 27265-8076 · (336) 887-3195 · Fax (336) 887-3194
Phone(336) 887-3195
Fax(336) 887-3194
Organization SubpartNo
Authorized OfficialKristine N KearnsPractice Administrator · (336) 934-5070
Enumeration DateJune 27, 2005
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1316943145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · Clinical & Laboratory Dermatological ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207NI0002X
License✔ Licensed in NC · 34D0238143
Definition
A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
4010 MENDENHALL OAKS PKWY, High Point, NC 27265
Open in Google Maps ↗

Other Identifiers 3

OtherCD4358NC · Railroad Medicare
Medicaid8901788NC
Other230129NC · Medicare Group Number

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 34D0238143

Central Carolina Dermatology Clinic, Inc · High Point, NC
Active · expires Jun 2, 2027
CLIA Number34D0238143
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorRobert T. Migliardi
Laboratory Phone(336) 887-3195
Laboratory LocationCentral Carolina Dermatology Clinic, Inc4010 Mendenhall Oaks Parkway, High Point, NC 27265
CLIA data matches this NPI record on: Address 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 9

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

CYNTHIA CHEN MD
Dermatology
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 887-3195
JOSHUA S BUTLER MD
Dermatology
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 887-3195
QUINN THIBODEAUX M.D.
Dermatology (Dermatopathology)
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 887-3195
KYLE H FLORES MD
Dermatology (MOHS-Micrographic Surgery)
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 887-3195
MISS ELYSHIA MICHELLE WARDEN PA-C
Physician Assistant (Medical)
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 887-3195
ENGLISH B BLACK I PAC
Physician Assistant (Medical)
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 887-3195
DR. ROBERT TAD MIGLIARDI MD
Dermatology
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 887-3195
DR. EDWARD SHIANG-LIN SMITH MD
Dermatology
4010 MENDENHALL OAKS PKWY
HIGH POINT, NC 27265
Guilford County (336) 887-3195

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 Central Carolina Dermatology Clinic, Inc's NPI number?

The NPI number for Central Carolina Dermatology Clinic, Inc is 1316943145. It was assigned to this organization in the NPPES registry on June 27, 2005.

Where is Central Carolina Dermatology Clinic, Inc located?

Central Carolina Dermatology Clinic, Inc is located at 4010 Mendenhall Oaks Pkwy, High Point, NC 27265. The listed phone number is (336) 887-3195.

What is Central Carolina Dermatology Clinic, Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Clinical & Laboratory Dermatological Immunology, with taxonomy code 207NI0002X.

Does Central Carolina Dermatology Clinic, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0238143) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Carolina Dermatology Clinic, Inc accept?

Health plans from Blue Cross and Blue Shield of NC list Central Carolina Dermatology Clinic, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Carolina Dermatology Clinic, Inc was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.