1. Home
  2. Directory
  3. North Carolina
  4. Eden
  5. Dermatology
  6. NPI Profile

BEAVERS DERMATOLOGY & SKIN SURGERY, PLLC
NPI 1477842573
Dermatology in Eden, NC

Active since March 30, 2011CLIA 34D2022070 · Microscopy
207 E MEADOW RD STE 1, EDEN, NC 27288(336) 627-3194(336) 627-3208 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2023, Oct 22, 2021 (2 updates tracked since 2021).

About Beavers Dermatology & Skin Surgery, Pllc NPPES

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

BEAVERS DERMATOLOGY & SKIN SURGERY, PLLC (NPI 1477842573) is a healthcare organization registered as a dermatology in Eden, North Carolina and active in the NPI registry since March 2011. The organization holds a CLIA Microscopy certificate valid through March 24, 2027 and lists Clarence Beavers, Owner, as its authorized official.

NPPES Registry Identity

NPI1477842573
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBEAVERS DERMATOLOGY & SKIN SURGERY, PLLC
Location Address207 E MEADOW RD STE 1Eden, NC 27288-3469
Mailing AddressPo Box 1693Bryson City, NC 28713-1693 · (336) 967-0004 · Fax (828) 538-4441
Phone(336) 627-3194
Fax(336) 627-3208
Organization SubpartNo
Authorized OfficialClarence BeaversOwner · (336) 627-3194
Enumeration DateMarch 30, 2011
Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1477842573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NC · 39543
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.
207 E MEADOW RD STE 1, Eden, NC 27288
Open in Google Maps ↗

Other Identifiers 3

Other2154554CNC · Medicare
OtherDR4608NC · Railroad Medicare
Medicaid5917187NC

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, 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)

Beavers Dermatology & Skin Surgery, Pllc 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 Beavers Dermatology & Skin Surgery, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clarence Beavers, M.D.
Dermatology
NPI 1871595082
207 E MEADOW RD STE 1
Eden, NC 27288
(336) 627-3194
✔ 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.

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 for Provider-Performed Microscopy Procedures (PPMP) 34D2022070

Beavers Dermatology & Skin Surgery PLLC · Eden, NC
Active · expires Mar 24, 2027
CLIA Number34D2022070
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorClarence H. Beavers
Laboratory Phone(336) 627-3194
Laboratory LocationBeavers Dermatology & Skin Surgery PLLC207 East Meadow Road Suite 1, Eden, NC 27288
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Beavers Dermatology & Skin Surgery, PLLC's NPI number?

The NPI number for Beavers Dermatology & Skin Surgery, PLLC is 1477842573. It was assigned to this organization in the NPPES registry on March 30, 2011.

Where is Beavers Dermatology & Skin Surgery, PLLC located?

Beavers Dermatology & Skin Surgery, PLLC is located at 207 E Meadow Rd Ste 1, Eden, NC 27288. The listed phone number is (336) 627-3194.

What is Beavers Dermatology & Skin Surgery, PLLC's specialty?

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

Is Beavers Dermatology & Skin Surgery, PLLC enrolled in Medicare?

Yes. Beavers Dermatology & Skin Surgery, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beavers Dermatology & Skin Surgery, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Beavers Dermatology & Skin Surgery, 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.

Does Beavers Dermatology & Skin Surgery, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2022070) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Beavers Dermatology & Skin Surgery, PLLC accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Beavers Dermatology & Skin Surgery, 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 Beavers Dermatology & Skin Surgery, PLLC was last updated on August 10, 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.