ON SITE DERMATOLOGY OF NORTH CAROLINA, PLLC
NPI 1376957340
Dermatology in Raleigh, NC

Q: What is On Site Dermatology Of North Carolina, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since June 17, 2014

3737 GLENWOOD AVE STE 100, RALEIGH, NC 27612(877) 345-5300 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2025, Feb 1, 2019 (2 updates tracked since 2019).

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About On Site Dermatology Of North Carolina, Pllc NPPES

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

ON SITE DERMATOLOGY OF NORTH CAROLINA, PLLC (NPI 1376957340) is a healthcare organization registered as a dermatology in Raleigh, North Carolina and active in the NPI registry since June 2014. The organization maintains a secondary practice location in Thomasville and lists Jeffrey D. Queen, Manager, as its authorized official.

NPPES Registry Identity

NPI1376957340

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameON SITE DERMATOLOGY OF NORTH CAROLINA, PLLC

Location Address3737 GLENWOOD AVE STE 100Raleigh, NC 27612-5515

Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 314-2000

Phone(877) 345-5300

Organization SubpartNo

Authorized OfficialJeffrey D. QueenManager · (561) 314-2000

Enumeration DateJune 17, 2014

Last NPPES UpdateApril 4, 20252 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1376957340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPhysician AssistantTaxonomy 363A00000X

3737 GLENWOOD AVE STE 100, Raleigh, NC 27612

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Secondary Practice Location 1

Location 1100 Hedrick DrThomasville, NC 27360-6009 · Phone (877) 345-5300 · Fax (561) 989-3665

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

On Site Dermatology Of North Carolina, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to On Site Dermatology Of North Carolina, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Dawn Kleinman, MD

Dermatology

NPI 1629164850

1911 K M WICKER MEMORIAL DR
Sanford, NC 27330

(919) 775-7926

✔ PECOS✔ Accepts Medicare39 mi

Jenna Persky, APRN

Nurse Practitioner

NPI 1114635943

3423 STEEL YARD CT
Charlotte, NC 28205

(727) 204-4094

✔ PECOS✔ Accepts Medicare127 mi

Adam Plotkin, MD

Dermatology

NPI 1306896105

5210 LINTON BLVD SUITE 307
Delray Beach, FL 33484

(561) 499-0660

✔ PECOS✔ Accepts Medicare653 mi

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 On Site Dermatology Of North Carolina, PLLC's NPI number?

The NPI number for On Site Dermatology Of North Carolina, PLLC is 1376957340. It was assigned to this organization in the NPPES registry on June 17, 2014.

Where is On Site Dermatology Of North Carolina, PLLC located?

On Site Dermatology Of North Carolina, PLLC is located at 3737 Glenwood Ave Ste 100, Raleigh, NC 27612. The listed phone number is (877) 345-5300.

What is On Site Dermatology Of North Carolina, PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is On Site Dermatology Of North Carolina, PLLC enrolled in Medicare?

Yes. On Site Dermatology Of North Carolina, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through On Site Dermatology Of North Carolina, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to On Site Dermatology Of North Carolina, PLLC, in Dermatology and Nurse Practitioner. 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 On Site Dermatology Of North Carolina, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list On Site Dermatology Of North Carolina, 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 On Site Dermatology Of North Carolina, PLLC was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.