DERMATOLOGIC SURGERY OF CENTRAL VIRGINIA PLC
NPI 1568441897
Dermatology - MOHS-Micrographic Surgery in Charlottesville, VA

Active since January 13, 2006CLIA Certified · 2 labs
902 E JEFFERSON ST, SUITE 201, CHARLOTTESVILLE, VA 22902(434) 979-7700(434) 979-7715 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dermatologic Surgery Of Central Virginia Plc NPPES

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

DERMATOLOGIC SURGERY OF CENTRAL VIRGINIA PLC (NPI 1568441897) is a healthcare organization registered as a mohs-micrographic surgery in Charlottesville, Virginia and active in the NPI registry since January 2006. The organization holds 2 active CLIA laboratory certificates and lists John D Hendrix, Owner, as its authorized official.

NPPES Registry Identity

NPI1568441897
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGIC SURGERY OF CENTRAL VIRGINIA PLC
Location Address902 E JEFFERSON ST, SUITE 201Charlottesville, VA 22902-5397
Mailing AddressPo Box 826696Philadelphia, PA 19182-6696 · (434) 979-7700 · Fax (434) 979-7715
Fax(434) 979-7715
Organization SubpartNo
Authorized OfficialJohn D HendrixOwner · (434) 979-7700
Enumeration DateJanuary 13, 2006
Last NPPES UpdateMay 12, 2015
NPI 1568441897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

902 E JEFFERSON ST, Charlottesville, VA 22902

Other Identifiers 2

Medicare PINGC1092VA
Medicare PINGO5678VA

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 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 of Compliance 49D0978374

Dermatologic Surgery Of Central VA Plc · Charlottesville, VA
Active · expires Feb 13, 2027
CLIA Number49D0978374
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorJohn D. Hendrix
Laboratory Phone(434) 979-7700
Laboratory LocationDermatologic Surgery Of Central VA Plc902 E Jefferson Street,ste 201, Charlottesville, VA 22902
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 49D2100058

Dermatologic Surgery Of Central Virginia, Plc · Waynesboro, VA
Active · expires Dec 8, 2027
CLIA Number49D2100058
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2025
Certificate Expiration DateDecember 8, 2027
Laboratory DirectorJohn D. Hendrix
Laboratory Phone(434) 979-7700
Laboratory LocationDermatologic Surgery Of Central Virginia, Plc1151 13th Street, Waynesboro, VA 22980
CLIA data matches this NPI record on: Name Phone
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 3

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

Internal Medicine (Gastroenterology)
902 E JEFFERSON ST, SUITE 201
CHARLOTTESVILLE, VA 22902
Dermatology (MOHS-Micrographic Surgery)
902 E JEFFERSON ST, SUITE 201
CHARLOTTESVILLE, VA 22902
Dermatology (MOHS-Micrographic Surgery)
902 E JEFFERSON ST, SUITE 201
CHARLOTTESVILLE, VA 22902

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 Dermatologic Surgery Of Central Virginia Plc's NPI number?

The NPI number for Dermatologic Surgery Of Central Virginia Plc is 1568441897. It was assigned to this organization in the NPPES registry on January 13, 2006.

Where is Dermatologic Surgery Of Central Virginia Plc located?

Dermatologic Surgery Of Central Virginia Plc is located at 902 E Jefferson St Suite 201, Charlottesville, VA 22902. The listed phone number is (434) 979-7700.

What is Dermatologic Surgery Of Central Virginia Plc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Dermatologic Surgery Of Central Virginia Plc 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 Dermatologic Surgery Of Central Virginia Plc was last updated on May 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.