AVILA DERMATOLOGY PLLC
NPI 1497699607
Dermatology in Southport, NC

Active since April 17, 2026
1456 N HOWE ST STE 101, SOUTHPORT, NC 28461(910) 994-3917(910) 946-0279 Get Directions Write a Review

NPPES record last updated: May 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2026, May 3, 2026, Apr 17, 2026 (3 updates tracked since 2026).

About Avila Dermatology Pllc NPPES

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

AVILA DERMATOLOGY PLLC (NPI 1497699607), doing business as Southport Dermatology, is a healthcare organization registered as a dermatology in Southport, North Carolina and active in the NPI registry since April 2026. The organization lists Christina L Avila, Dermatologist, Owner, as its authorized official.

NPPES Registry Identity

NPI1497699607
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameAVILA DERMATOLOGY PLLC
Location Address1456 N HOWE ST STE 101Southport, NC 28461-2674
Mailing Address1456 N Howe St Ste 101Southport, NC 28461-2674 · (910) 994-3917 · Fax (910) 946-0279
Fax(910) 946-0279
Organization SubpartNo
Authorized OfficialChristina L AvilaDermatologist, Owner · (910) 994-3917
Enumeration DateApril 17, 2026
Last NPPES UpdateMay 8, 20263 updates tracked since enumeration
NPPES CertifiedMay 8, 2026
✔ NPI 1497699607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1456 N HOWE ST STE 101, Southport, NC 28461

Other Names 1

Doing Business AsSouthport Dermatology

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avila Dermatology 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 Avila Dermatology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1518543453
1456 N HOWE ST STE 101
Southport, NC 28461
(910) 994-3917
✔ 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.

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 Avila Dermatology PLLC's NPI number?

The NPI number for Avila Dermatology PLLC is 1497699607. It was assigned to this organization in the NPPES registry on April 17, 2026. The provider is doing business as Southport Dermatology.

Where is Avila Dermatology PLLC located?

Avila Dermatology PLLC is located at 1456 N Howe St Ste 101, Southport, NC 28461. The listed phone number is (910) 994-3917.

What is Avila Dermatology PLLC's specialty?

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

Is Avila Dermatology PLLC enrolled in Medicare?

Yes. Avila Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avila Dermatology PLLC?

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

What insurance does Avila Dermatology PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Avila Dermatology 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 Avila Dermatology PLLC was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.