COMPLEXION MED SPA AND AESTHETICS
NPI 1346955895
Nurse Practitioner - Family in Atlantic Beach, NC

Q: What is Complexion Medical Spa PLLC's NPI number?

The NPI number for Complexion Medical Spa PLLC is 1346955895. It was assigned to this organization in the NPPES registry on January 19, 2023. The provider is also known as Complexion Med Spa And Aesthetics.

Q: What is Complexion Medical Spa PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 19, 2023

201 W FORT MACON RD, ATLANTIC BEACH, NC 28512(252) 773-0841(252) 773-0737 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2023, Jan 19, 2023 (2 updates tracked since 2023).

On this page

About Complexion Med Spa And Aesthetics NPPES

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

COMPLEXION MED SPA AND AESTHETICS (NPI 1346955895) is a healthcare organization registered as a family in Atlantic Beach, North Carolina and active in the NPI registry since January 2023. The organization lists Cassandra Davis, Dnp, Fnp-bc, as its authorized official.

NPPES Registry Identity

NPI1346955895

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameCOMPLEXION MEDICAL SPA PLLC

Location Address201 W FORT MACON RDAtlantic Beach, NC 28512-5303

Mailing Address201 W Fort Macon RdAtlantic Beach, NC 28512-5303 · (252) 773-0841 · Fax (252) 773-0737

Phone(252) 773-0841

Fax(252) 773-0737

Organization SubpartNo

Authorized OfficialCassandra DavisDnp, Fnp-bc · (252) 725-3844

Enumeration DateJanuary 19, 2023

Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1346955895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

201 W FORT MACON RD, Atlantic Beach, NC 28512

Open in Google Maps ↗

Other Names 1

Other NameComplexion Med Spa And Aesthetics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Complexion Med Spa And Aesthetics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Complexion Med Spa And Aesthetics, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cassandra Davis, FNP-BC

Nurse Practitioner

NPI 1073937397

201 W FORT MACON RD
Atlantic Beach, NC 28512

(252) 773-0841

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Complexion Medical Spa PLLC's NPI number?

The NPI number for Complexion Medical Spa PLLC is 1346955895. It was assigned to this organization in the NPPES registry on January 19, 2023. The provider is also known as Complexion Med Spa And Aesthetics.

Where is Complexion Medical Spa PLLC located?

Complexion Medical Spa PLLC is located at 201 W Fort Macon Rd, Atlantic Beach, NC 28512. The listed phone number is (252) 773-0841.

What is Complexion Medical Spa PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Complexion Medical Spa PLLC enrolled in Medicare?

Yes. Complexion Medical Spa PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Complexion Medical Spa PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Complexion Medical Spa PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Complexion Medical Spa PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Complexion Medical Spa PLLC 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 Complexion Medical Spa PLLC was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.