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METROLINA DERMATOLOGY AND SKIN SURGERY SPECIALISTS, PLLC
NPI 1619400033
Dermatology in Charlotte, NC

Active since April 04, 2017CLIA 34D2126667 · Certificate of Compliance
10502 PARK RD, CHARLOTTE, NC 28210(937) 433-7536 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Metrolina Dermatology And Skin Surgery Specialists, Pllc NPPES

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

METROLINA DERMATOLOGY AND SKIN SURGERY SPECIALISTS, PLLC (NPI 1619400033) is a healthcare organization registered as a dermatology in Charlotte, North Carolina and active in the NPI registry since April 2017. The organization holds a CLIA Certificate of Compliance certificate valid through February 17, 2027 and lists Eugene Brent Kirkland, Cmo, as its authorized official.

NPPES Registry Identity

NPI1619400033
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMETROLINA DERMATOLOGY AND SKIN SURGERY SPECIALISTS, PLLC
Location Address10502 PARK RDCharlotte, NC 28210-8479
Mailing Address9987 Carver Rd Ste 250Blue Ash, OH 45242-5553 · (937) 433-7536 · Fax (937) 433-9612
Phone(937) 433-7536
Organization SubpartNo
Authorized OfficialEugene Brent KirklandCmo · (937) 312-3820
Enumeration DateApril 4, 2017
Last NPPES UpdateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1619400033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
10502 PARK RD, Charlotte, NC 28210
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 34D2126667

Metrolina Dermatology And Skin Surgery Specialists, PLLC · Charlotte, NC
Active · expires Feb 17, 2027
CLIA Number34D2126667
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorSasha J. Haberle
Laboratory Phone(980) 299-3926
Laboratory LocationMetrolina Dermatology And Skin Surgery Specialists, PLLC10502 Park Road, Suite 100, Charlotte, NC 28210
CLIA data matches this NPI record on: Address Name
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 15

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

ANITA YOLANDA RYAN
Behavior Analyst
10502 PARK RD
CHARLOTTE, NC 28210
Mecklenburg County (336) 560-7878
CAROLINA DERMATOLOGY, LLC
Dermatology
10502 PARK RD, SUITE 100
CHARLOTTE, NC 28210
Mecklenburg County (704) 542-1366
DR. JAMES WITTEN ALTIZER MD, FACPH
Specialist
10502 PARK RD, SUITE 120
CHARLOTTE, NC 28210
Mecklenburg County (704) 341-1122
MR. AARON T BLACKMER P.A
Physician Assistant (Medical)
10502 PARK RD, SUITE 100
CHARLOTTE, NC 28210
Mecklenburg County (704) 542-1366
JANE H BOX MD
Internal Medicine (Rheumatology)
10502 PARK RD, SUITE 100
CHARLOTTE, NC 28210
Mecklenburg County (704) 541-9092
MOOSE HAND CENTER, PLLC
Surgery (Surgery of the Hand)
10502 PARK RD, SUITE 170
CHARLOTTE, NC 28210
Mecklenburg County (704) 372-0527
BOX ARTHRITIS & RHEUMATOLOGY OF THE
Clinic/Center
10502 PARK RD, SUITE 100
CHARLOTTE, NC 28210
Mecklenburg County (704) 541-9092
CAROLINAS MEDICAL CENTER
Internal Medicine (Cardiovascular Disease)
10502 PARK RD, SUITE 110
CHARLOTTE, NC 28210
Mecklenburg County (704) 667-1540

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 Metrolina Dermatology And Skin Surgery Specialists, PLLC's NPI number?

The NPI number for Metrolina Dermatology And Skin Surgery Specialists, PLLC is 1619400033. It was assigned to this organization in the NPPES registry on April 4, 2017.

Where is Metrolina Dermatology And Skin Surgery Specialists, PLLC located?

Metrolina Dermatology And Skin Surgery Specialists, PLLC is located at 10502 Park Rd, Charlotte, NC 28210. The listed phone number is (937) 433-7536.

What is Metrolina Dermatology And Skin Surgery Specialists, PLLC's specialty?

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

Does Metrolina Dermatology And Skin Surgery Specialists, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D2126667) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Metrolina Dermatology And Skin Surgery Specialists, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Metrolina Dermatology And Skin Surgery Specialists, 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 Metrolina Dermatology And Skin Surgery Specialists, PLLC was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.