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VIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC
NPI 1396774667
Clinic/Center - Medical Specialty in Norfolk, VA

Active since June 30, 2006CLIA 49D1053635 · Certificate of Compliance
9724 BAY POINT DR, NORFOLK, VA 23518(757) 404-7725(757) 362-3577 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Virginia Dermatology & Skin Cancer Center Pllc NPPES

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

VIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC (NPI 1396774667) is a healthcare organization registered as a medical specialty in Norfolk, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 24, 2027 and lists Brian L. Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1396774667
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameVIRGINIA DERMATOLOGY & SKIN CANCER CENTER PLLC
Location Address9724 BAY POINT DRNorfolk, VA 23518-2013
Mailing Address241 Corporate Blvd, Suite 215Norfolk, VA 23502-4954 · (757) 455-5009 · Fax (757) 362-3577
Phone(757) 404-7725
Fax(757) 362-3577
Organization SubpartNo
Authorized OfficialBrian L. JohnsonPresident · (757) 455-5009
Enumeration DateJune 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396774667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in VA · 0101042937
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
9724 BAY POINT DR, Norfolk, VA 23518
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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 49D1053635

Virginia Dermatology And Skin Cancer Center, PLLC · Norfolk, VA
Active · expires Apr 24, 2027
CLIA Number49D1053635
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorBrian L. Johnson
Laboratory Phone(757) 455-5009
Laboratory LocationVirginia Dermatology And Skin Cancer Center, PLLC5630 Lowery Road - Suite 100, Norfolk, VA 23502
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.

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 Virginia Dermatology & Skin Cancer Center PLLC's NPI number?

The NPI number for Virginia Dermatology & Skin Cancer Center PLLC is 1396774667. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is Virginia Dermatology & Skin Cancer Center PLLC located?

Virginia Dermatology & Skin Cancer Center PLLC is located at 9724 Bay Point Dr, Norfolk, VA 23518. The listed phone number is (757) 404-7725.

What is Virginia Dermatology & Skin Cancer Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Virginia Dermatology & Skin Cancer Center PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D1053635) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Virginia Dermatology & Skin Cancer Center PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.