MEDICAL & SURGICAL DERMATOLOGY, LLC
NPI 1619194404
Dermatology in Columbus, NC

Active since April 20, 2007
55 PALMER JERVEY DR STE B, COLUMBUS, NC 28722(828) 894-2473(828) 894-2390 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2025, Nov 21, 2024 (2 updates tracked since 2024).

About Medical & Surgical Dermatology, Llc NPPES

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

MEDICAL & SURGICAL DERMATOLOGY, LLC (NPI 1619194404), doing business as Westgate Dermatology, is a healthcare organization registered as a dermatology in Columbus, North Carolina and active in the NPI registry since April 2007. The organization maintains a secondary practice location in Spartanburg and lists Peter J Neidenbach, Physician, as its authorized official.

NPPES Registry Identity

NPI1619194404
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMEDICAL & SURGICAL DERMATOLOGY, LLC
Location Address55 PALMER JERVEY DR STE BColumbus, NC 28722-0580
Mailing Address52 Hospital Dr Ste 3aColumbus, NC 28722-8516 · (828) 894-2473 · Fax (828) 894-2390
Fax(828) 894-2390
Organization SubpartNo
Authorized OfficialPeter J NeidenbachPhysician · (828) 894-2473
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1619194404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 66555
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.
55 PALMER JERVEY DR STE B, Columbus, NC 28722

Other Names 1

Doing Business AsWestgate Dermatology

Secondary Practice Location 1

Location 12430 Reidville RdSpartanburg, SC 29301-3652 · Phone (904) 664-8644 · Fax (904) 398-7048

Other Identifiers 3

Other2336482NC · Medicare Ptan
Other9501356NC · Medical License
OtherMMM.16384MDSC · Medical License

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

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 Medical & Surgical Dermatology, LLC's NPI number?

The NPI number for Medical & Surgical Dermatology, LLC is 1619194404. It was assigned to this organization in the NPPES registry on April 20, 2007. The provider is doing business as Westgate Dermatology.

Where is Medical & Surgical Dermatology, LLC located?

Medical & Surgical Dermatology, LLC is located at 55 Palmer Jervey Dr Ste B, Columbus, NC 28722. The listed phone number is (828) 894-2473.

What is Medical & Surgical Dermatology, LLC's specialty?

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

What insurance does Medical & Surgical Dermatology, LLC accept?

Health plans from Molina Healthcare list Medical & Surgical Dermatology, LLC 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 Medical & Surgical Dermatology, LLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.