SOUTHEAST VULVAR CLINIC
NPI 1497940944
Dermatology in Charlotte, NC

Q: What is Mid-Charlotte Dermatology And Research PLLC's specialty?

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

Active since September 07, 2007CLIA Certified · 2 labs

6406 CARMEL RD STE 309, CHARLOTTE, NC 28226(704) 367-9777(704) 367-0504 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southeast Vulvar Clinic NPPES

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

SOUTHEAST VULVAR CLINIC (NPI 1497940944) is a healthcare organization registered as a dermatology in Charlotte, North Carolina and active in the NPI registry since September 2007. The organization holds 2 active CLIA laboratory certificates and lists Irene Elizabeth Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1497940944

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameMID-CHARLOTTE DERMATOLOGY AND RESEARCH PLLC

Location Address6406 CARMEL RD STE 309Charlotte, NC 28226-8267

Mailing Address6406 Carmel Rd Ste 309Charlotte, NC 28226-8267 · (704) 367-9777 · Fax (704) 367-0504

Phone(704) 367-9777

Fax(704) 367-0504

Organization SubpartNo

Authorized OfficialIrene Elizabeth EdwardsOwner · (704) 367-9777

Enumeration DateSeptember 7, 2007

Last NPPES UpdateMarch 1, 2022

NPPES CertifiedMarch 1, 2022

✔ NPI 1497940944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NC · 23521

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 ListedInternal MedicineTaxonomy 207R00000X · License 23521 (NC)

Also ListedPediatricsTaxonomy 208000000X · License 23521 (NC)

6406 CARMEL RD STE 309, Charlotte, NC 28226

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Other Names 1

Other NameSoutheast Vulvar Clinic

Other Identifiers 1

Medicaid5922883NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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) 34D2176518

Southeast Vulvar Clinic, PLLC · Charlotte, NC

Active · expires Dec 16, 2027

CLIA Number34D2176518

Laboratory TypePhysician Office

Certificate Effective DateDecember 17, 2025

Certificate Expiration DateDecember 16, 2027

Laboratory DirectorIrene E. Edwards

Laboratory Phone(704) 367-9777

Laboratory LocationSoutheast Vulvar Clinic, PLLC6406 Carmel Road, Suite 309, Charlotte, NC 28226

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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0975433

Mid Charlotte Dermatology & Research · Charlotte, NC

Active · expires Jul 6, 2028

CLIA Number34D0975433

Laboratory TypePhysician Office

Certificate Effective DateJuly 7, 2026

Certificate Expiration DateJuly 6, 2028

Laboratory DirectorLibby I E. Edwards

Laboratory Phone(704) 367-9777

Laboratory LocationMid Charlotte Dermatology & Research6406 Carmel Road, Suite 309, Charlotte, NC 28226

CLIA data matches this NPI record on: Address Phone

Other Providers at the Same Location NPPES 2

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

J HEATH THERAPY LLC

Physical Therapist

6406 CARMEL RD STE 309
CHARLOTTE, NC 28226

Mecklenburg County (704) 412-2001

DR. IRENE ELIZABETH EDWARDS MD

Dermatology

6406 CARMEL RD STE 309
CHARLOTTE, NC 28226

Mecklenburg County (704) 367-9777

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 Mid-Charlotte Dermatology And Research PLLC's NPI number?

The NPI number for Mid-Charlotte Dermatology And Research PLLC is 1497940944. It was assigned to this organization in the NPPES registry on September 7, 2007. The provider is also known as Southeast Vulvar Clinic.

Where is Mid-Charlotte Dermatology And Research PLLC located?

Mid-Charlotte Dermatology And Research PLLC is located at 6406 Carmel Rd Ste 309, Charlotte, NC 28226. The listed phone number is (704) 367-9777.

What is Mid-Charlotte Dermatology And Research PLLC's specialty?

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

Does Mid-Charlotte Dermatology And Research PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mid-Charlotte Dermatology And Research PLLC was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.