CENTRAL CAROLINA DERMATOLOGY CLINIC, INC
NPI 1316943145
Dermatology - Clinical & Laboratory Dermatological Immunology in High Point, NC
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
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Carolina Dermatology Clinic, Inc 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 Central Carolina Dermatology Clinic, Inc, which bills Medicare for the services they deliver. Of these, 7 practice at this address. 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 34D0238143
Central Carolina Dermatology Clinic, Inc · High Point, 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 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.
Is Central Carolina Dermatology Clinic, Inc enrolled in Medicare?
Yes. Central Carolina Dermatology Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Carolina Dermatology Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Dermatology, reassign their Medicare billing to Central Carolina Dermatology Clinic, Inc. 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. Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 and Cigna Healthcare 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.
# Central Carolina Dermatology Clinic, Inc · NPI 1316943145
Clinical & Laboratory Dermatological Immunology organization in High Point, North Carolina. Organization record, active in the CMS NPPES registry since June 27, 2005.
## Identity
- **NPI:** 1316943145 (Entity type: Organization)
- **Enumerated:** June 27, 2005
- **Primary specialty:** Dermatology - Clinical & Laboratory Dermatological Immunology · taxonomy 207NI0002X
- **Organization subpart:** No
- **Authorized official:** Kristine Kearns, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 4010 MENDENHALL OAKS PKWY, High Point, NC 27265-8076
- **Phone:** (336) 887-3195 · **Fax:** (336) 887-3194
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 24, 2021
- **Other identifiers:** Other CD4358 (NC); Medicaid 8901788 (NC); Other 230129 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316943145) · Data from the CMS NPPES public registry.