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VIRGINIA DERMATOLOGY AND SKIN CANCER CENTER SUFFOLK
NPI 1497032205
Specialist in Suffolk, VA

Active since November 08, 2011CLIA 49D2030686 · Certificate of Compliance
1005 COMMERCIAL LN, SUITE 230, SUFFOLK, VA 23434(757) 925-1890 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Virginia Dermatology And Skin Cancer Center Suffolk NPPES

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

VIRGINIA DERMATOLOGY AND SKIN CANCER CENTER SUFFOLK (NPI 1497032205) is a healthcare organization registered as a specialist in Suffolk, Virginia and active in the NPI registry since November 2011. The organization holds a CLIA Certificate of Compliance certificate valid through May 31, 2028 and lists Amani N Jones, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1497032205
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVIRGINIA DERMATOLOGY SKIN CANCER CENTER SUFFOLK
Location Address1005 COMMERCIAL LN, SUITE 230Suffolk, VA 23434-8149
Mailing Address1005 Commercial Ln, Suite 230Suffolk, VA 23434-8149 · (757) 925-1890
Phone(757) 925-1890
Organization SubpartNo
Authorized OfficialAmani N JonesBilling Coordinator · (757) 455-5009
Enumeration DateNovember 8, 2011
Last NPPES UpdateDecember 12, 2011
✔ NPI 1497032205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
1005 COMMERCIAL LN, Suffolk, VA 23434
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Other Names 1

Doing Business AsVirginia Dermatology And Skin Cancer Center Suffolk

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

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 49D2030686

Virginia Dermatology And Skin Cancer Center · Suffolk, VA
Active · expires May 31, 2028
CLIA Number49D2030686
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorBrian L. Johnson
Laboratory Phone(757) 925-1860
Laboratory LocationVirginia Dermatology And Skin Cancer Center1069 Centerbrooke Lane, Suffolk, VA 23434
CLIA data matches this NPI record on: Name
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 5

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

JAMIE A RAMSAY DMD
Dentist (General Practice)
1005 COMMERCIAL LN, SUITE 210
SUFFOLK, VA 23434
Suffolk City (757) 934-8500
PERSONS ORTHOPAEDIC SPORTS MEDICINE AND JOINT REPLACEMENT CENTER, PC
Specialist
1005 COMMERCIAL LN, SUITE 210
SUFFOLK, VA 23434
Suffolk City (757) 410-8954
CHILDRENS MEDICAL GROUP INC
Pediatrics
1005 COMMERCIAL LN, GODWIN BLDG ON RT. 10, SUITE 220
SUFFOLK, VA 23434
Suffolk City (757) 668-2600
DR. GRACIE D VERGARA MD
Pediatrics
1005 COMMERCIAL LN, SUITE 220
SUFFOLK, VA 23434
Suffolk City (757) 668-2600
JOANNE RUE WUNDERLICH MD
Pediatrics
1005 COMMERCIAL LN, SUITE 220
SUFFOLK, VA 23434
Suffolk City (757) 668-2600

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 Suffolk's NPI number?

The NPI number for Virginia Dermatology Skin Cancer Center Suffolk is 1497032205. It was assigned to this organization in the NPPES registry on November 8, 2011. The provider is doing business as Virginia Dermatology And Skin Cancer Center Suffolk.

Where is Virginia Dermatology Skin Cancer Center Suffolk located?

Virginia Dermatology Skin Cancer Center Suffolk is located at 1005 Commercial Ln Suite 230, Suffolk, VA 23434. The listed phone number is (757) 925-1890.

What is Virginia Dermatology Skin Cancer Center Suffolk's specialty?

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

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

Yes. A Certificate of Compliance (number 49D2030686) is associated with this NPI, valid through May 31, 2028. 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 Suffolk was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.