SKIN SURGERY CENTER PA
NPI 1649237082
Dermatology in Winston Salem, NC

Active since April 28, 2006CLIA 34D0980882 · Certificate of Compliance
1450 PROFESSIONAL PARK DR, SUITE 150, WINSTON SALEM, NC 27103(336) 724-2434(336) 724-6123 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Skin Surgery Center Pa NPPES

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

SKIN SURGERY CENTER PA (NPI 1649237082) is a healthcare organization registered as a dermatology in Winston Salem, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 9, 2027 and lists Barry Leshin, President, as its authorized official.

NPPES Registry Identity

NPI1649237082
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameSKIN SURGERY CENTER PA
Location Address1450 PROFESSIONAL PARK DR, SUITE 150Winston Salem, NC 27103-1300
Mailing Address1450 Professional Park Dr, Suite 150Winston Salem, NC 27103-1300 · (336) 724-2434 · Fax (336) 724-6123
Fax(336) 724-6123
Organization SubpartNo
Authorized OfficialBarry LeshinPresident · (336) 724-2434
Enumeration DateApril 28, 2006
Last NPPES UpdateApril 4, 2016
NPI 1649237082 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.
1450 PROFESSIONAL PARK DR, Winston Salem, NC 27103

Other Identifiers 6

Other011WPNC · Blue Cross Blue Shield Of North Carolina
OtherF309NC · Blue Medicare
Medicaid89011WPNC
OtherCH4494Railroad Medicare
Other7110186NC · Aetna
Medicare PIN2344676

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

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 34D0980882

Skin Surgery Center PA, The · Winston Salem, NC
Active · expires Aug 9, 2027
CLIA Number34D0980882
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorDaniel Pearce
Laboratory Phone(336) 724-2434
Laboratory LocationSkin Surgery Center PA, The1450 Professional Park Drive, Suite 150, Winston Salem, NC 27103
CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 3

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

Dermatology (MOHS-Micrographic Surgery)
1450 PROFESSIONAL PARK DR, SUITE 150
WINSTON SALEM, NC 27103
Dermatology (MOHS-Micrographic Surgery)
1450 PROFESSIONAL PARK DR, STE 150
WINSTON SALEM, NC 27103
Dermatology
1450 PROFESSIONAL PARK DR, STE 150
WINSTON SALEM, NC 27103

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 Skin Surgery Center PA's NPI number?

The NPI number for Skin Surgery Center PA is 1649237082. It was assigned to this organization in the NPPES registry on April 28, 2006.

Where is Skin Surgery Center PA located?

Skin Surgery Center PA is located at 1450 Professional Park Dr Suite 150, Winston Salem, NC 27103. The listed phone number is (336) 724-2434.

What is Skin Surgery Center PA's specialty?

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

Does Skin Surgery Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D0980882) is associated with this NPI, valid through August 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Skin Surgery Center PA accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Skin Surgery Center 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 Skin Surgery Center PA was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.