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CHARLESTON DERMATOLOGY PLLC
NPI 1619623972
Dermatology in Charleston, WV

Active since February 25, 2022CLIA 51D0687379 · Microscopy
4502 MACCORKLE AVE SE STE A, CHARLESTON, WV 25304(304) 925-5500(304) 925-6780 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charleston Dermatology Pllc NPPES

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

CHARLESTON DERMATOLOGY PLLC (NPI 1619623972) is a healthcare organization registered as a dermatology in Charleston, West Virginia and active in the NPI registry since February 2022. The organization holds a CLIA Microscopy certificate valid through August 13, 2027 and lists Kimberly L Skaff, Owner, as its authorized official.

NPPES Registry Identity

NPI1619623972
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCHARLESTON DERMATOLOGY PLLC
Location Address4502 MACCORKLE AVE SE STE ACharleston, WV 25304-1835
Mailing Address4502 Maccorkle Ave Se Ste ACharleston, WV 25304-1835 · (304) 925-5500 · Fax (304) 925-6780
Phone(304) 925-5500
Fax(304) 925-6780
Organization SubpartNo
Authorized OfficialKimberly L SkaffOwner · (304) 925-5500
Enumeration DateFebruary 25, 2022
NPPES CertifiedFebruary 25, 2022
✔ NPI 1619623972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4502 MACCORKLE AVE SE STE A, Charleston, WV 25304
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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

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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 for Provider-Performed Microscopy Procedures (PPMP) 51D0687379

Charleston Dermatology, PLLC · Charleston, WV
Active · expires Aug 13, 2027
CLIA Number51D0687379
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorDr. Samantha F. Jenkins
Laboratory Phone(304) 925-5500
Laboratory LocationCharleston Dermatology, PLLC4502 Maccorkle Avenue SE Suite A, Charleston, WV 25304
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.

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 Charleston Dermatology PLLC's NPI number?

The NPI number for Charleston Dermatology PLLC is 1619623972. It was assigned to this organization in the NPPES registry on February 25, 2022.

Where is Charleston Dermatology PLLC located?

Charleston Dermatology PLLC is located at 4502 Maccorkle Ave SE Ste A, Charleston, WV 25304. The listed phone number is (304) 925-5500.

What is Charleston Dermatology PLLC's specialty?

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

Does Charleston Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 51D0687379) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Charleston Dermatology PLLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Charleston Dermatology 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 Charleston Dermatology PLLC was last updated on February 25, 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.