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PIEDMONT COSMETIC SURGERY AND DERMATOLOGY CENTER, PA
NPI 1356440663
Specialist in Winston Salem, NC

Active since September 22, 2006CLIA Certified · 2 labs
765 HIGHLAND OAKS DR, SUITE 100, WINSTON SALEM, NC 27103(336) 760-4004(336) 760-6632 Get Directions Write a Review

NPPES record last updated: January 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Piedmont Cosmetic Surgery And Dermatology Center, Pa NPPES

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

PIEDMONT COSMETIC SURGERY AND DERMATOLOGY CENTER, PA (NPI 1356440663) is a healthcare organization registered as a specialist in Winston Salem, North Carolina and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Renee A Shandra, Insurance/billing, as its authorized official.

NPPES Registry Identity

NPI1356440663
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePIEDMONT COSMETIC SURGERY AND DERMATOLOGY CENTER, PA
Location Address765 HIGHLAND OAKS DR, SUITE 100Winston Salem, NC 27103-7101
Mailing Address765 Highland Oaks Dr, Suite 100Winston Salem, NC 27103-7101 · (336) 760-4004 · Fax (336) 760-6632
Phone(336) 760-4004
Fax(336) 760-6632
Organization SubpartNo
Authorized OfficialRenee A ShandraInsurance/billing · (336) 760-4004
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJanuary 7, 2010
✔ NPI 1356440663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 400362
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
765 HIGHLAND OAKS DR, Winston Salem, NC 27103
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Other Identifiers 2

Medicaid890238HNC
Medicare ID-Type Unspecified1616NC

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 MULTIPLE 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 2

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 34D1030592

Piedmont Cosmetic Surgery & Dermatology Center · North Wilkesboro, NC
Active · expires Dec 7, 2027
CLIA Number34D1030592
Laboratory TypePhysician Office
Certificate Effective DateDecember 8, 2025
Certificate Expiration DateDecember 7, 2027
Laboratory DirectorDavid M. Spencer
Laboratory Phone(336) 760-4004
Laboratory LocationPiedmont Cosmetic Surgery & Dermatology Center1915 West Park Drive Suite 108, North Wilkesboro, NC 28659
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 34D0916100

Piedmont Cosmetic Surgery & Dermatology Center, PA · Winston-Salem, NC
Active · expires Mar 20, 2027
CLIA Number34D0916100
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorDavid M. Spencer
Laboratory Phone(336) 760-4004
Laboratory LocationPiedmont Cosmetic Surgery & Dermatology Center, PA765 Highland Oaks Drive, Suite 100, Winston-Salem, NC 27103
CLIA data matches this NPI record on: 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

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

MR. DAVID M SPENCER M.D
Specialist
765 HIGHLAND OAKS DR, SUITE 100
WINSTON SALEM, NC 27103
Forsyth County (336) 760-4004

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 Piedmont Cosmetic Surgery And Dermatology Center, PA's NPI number?

The NPI number for Piedmont Cosmetic Surgery And Dermatology Center, PA is 1356440663. It was assigned to this organization in the NPPES registry on September 22, 2006.

Where is Piedmont Cosmetic Surgery And Dermatology Center, PA located?

Piedmont Cosmetic Surgery And Dermatology Center, PA is located at 765 Highland Oaks Dr Suite 100, Winston Salem, NC 27103. The listed phone number is (336) 760-4004.

What is Piedmont Cosmetic Surgery And Dermatology Center, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Piedmont Cosmetic Surgery And Dermatology Center, PA hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Piedmont Cosmetic Surgery And Dermatology Center, PA accept?

Health plans from Blue Cross and Blue Shield of NC list Piedmont Cosmetic Surgery And Dermatology Center, PA 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 Piedmont Cosmetic Surgery And Dermatology Center, PA was last updated on January 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.