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

Q: 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.

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: October 25, 2026.

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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

Phone(434) 979-7700

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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatologic Surgery Of Central Virginia Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Dermatologic Surgery Of Central Virginia Plc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

John Hendrix, MD

Micrographic Dermatologic Surgery (MDS)

NPI 1558341578

902 E JEFFERSON ST SUITE 201
Charlottesville, VA 22902

(434) 979-7700

✔ PECOS✔ Accepts MedicareSame address

Jennifer Tromberg, MD

Micrographic Dermatologic Surgery (MDS)

NPI 1659562841

902 E JEFFERSON ST SUITE 201
Charlottesville, VA 22902

(434) 979-7700

✔ 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 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.

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.

Is Dermatologic Surgery Of Central Virginia Plc enrolled in Medicare?

Yes. Dermatologic Surgery Of Central Virginia Plc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatologic Surgery Of Central Virginia Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Micrographic Dermatologic Surgery (MDS), reassign their Medicare billing to Dermatologic Surgery Of Central Virginia Plc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.