DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA
NPI 1619903176
Dermatology - Dermatopathology in New Bern, NC

Active since June 24, 2006
2115 NEUSE BLVD, NEW BERN, NC 28560(252) 633-4461(252) 633-6016 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dermatology Associates Of Coastal Carolina, Pa NPPES

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

DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA (NPI 1619903176) is a healthcare organization registered as a dermatopathology in New Bern, North Carolina and active in the NPI registry since June 2006. The organization lists James M Polo, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1619903176
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NameDERMATOLOGY ASSOCIATES OF COASTAL CAROLINA, PA
Location Address2115 NEUSE BLVDNew Bern, NC 28560-4309
Mailing AddressPo Box 890283Charlotte, NC 28289-0283 · (252) 633-4461 · Fax (252) 633-6016
Fax(252) 633-6016
Organization SubpartNo
Authorized OfficialJames M PoloMedical Director/owner · (252) 633-4461
Enumeration DateJune 24, 2006
Last NPPES UpdateSeptember 21, 2022
NPPES CertifiedSeptember 21, 2022
✔ NPI 1619903176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
2115 NEUSE BLVD, New Bern, NC 28560

Other Identifiers 2

OtherDF3377NC · Rr Medicare
Other017RMNC · Bcbs Group Provider Numbe

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dermatology Associates Of Coastal Carolina, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Dermatology Associates Of Coastal Carolina, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1477146090
2115 NEUSE BLVD
New Bern, NC 28560
(252) 633-4461
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1609961853
2115 NEUSE BLVD
New Bern, NC 28560
(252) 633-4461
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1104898717
2115 NEUSE BLVD
New Bern, NC 28560
(252) 633-4461
✔ PECOS✔ Accepts Medicare10 mi
Dermatology
NPI 1093731168
2115 NEUSE BLVD
New Bern, NC 28560
(252) 633-4461
✔ PECOS✔ Accepts Medicare10 mi
Dermatology
NPI 1902244817
620 JOHN PAUL JONES CIR
Portsmouth, VA 23708
(757) 953-0292
✔ PECOS✔ Accepts Medicare123 mi
Nurse Practitioner
NPI 1013970417
702 N MAIN ST
Roxboro, NC 27573
(336) 599-9271
✔ PECOS147 mi
Dermatology
NPI 1568757086
2959 SISKIYOU BLVD STE B
Medford, OR 97504
(541) 773-3636
✔ PECOS✔ Accepts Medicare2,501 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dermatology Associates Of Coastal Carolina, PA's NPI number?

The NPI number for Dermatology Associates Of Coastal Carolina, PA is 1619903176. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Dermatology Associates Of Coastal Carolina, PA located?

Dermatology Associates Of Coastal Carolina, PA is located at 2115 Neuse Blvd, New Bern, NC 28560. The listed phone number is (252) 633-4461.

What is Dermatology Associates Of Coastal Carolina, PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Dermatology Associates Of Coastal Carolina, PA enrolled in Medicare?

Yes. Dermatology Associates Of Coastal Carolina, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dermatology Associates Of Coastal Carolina, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Dermatology Associates Of Coastal Carolina, PA. 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. The largest specialties are Dermatology (5) and Nurse Practitioner (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dermatology Associates Of Coastal Carolina, PA accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Dermatology Associates Of Coastal Carolina, PA 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 Dermatology Associates Of Coastal Carolina, PA was last updated on September 21, 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.