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MOUNTAINVIEW SKIN CARE PC
NPI 1649492232
Clinic/Center - Medical Specialty in Winston Salem, NC

Active since May 03, 2007CLIA 34D1043499 · Microscopy
4680 BROWNSBORO RD B, WINSTON SALEM, NC 27106(336) 893-8423(336) 893-8426 Get Directions Write a Review

NPPES record last updated: November 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mountainview Skin Care Pc NPPES

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

MOUNTAINVIEW SKIN CARE PC (NPI 1649492232) is a healthcare organization registered as a medical specialty in Winston Salem, North Carolina and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through July 25, 2027 and lists Paul Wortman, President, Owner, as its authorized official.

NPPES Registry Identity

NPI1649492232
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameMOUNTAINVIEW SKIN CARE PC
Location Address4680 BROWNSBORO RD BWinston Salem, NC 27106-3428
Mailing Address127 S Poplar StWinston Salem, NC 27101-3755 · (336) 893-8423 · Fax (336) 893-8426
Phone(336) 893-8423
Fax(336) 893-8426
Organization SubpartNo
Authorized OfficialPaul WortmanPresident, Owner · (336) 893-8423
Enumeration DateMay 3, 2007
Last NPPES UpdateNovember 27, 2017
✔ NPI 1649492232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NC · 126743
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4680 BROWNSBORO RD B, Winston Salem, NC 27106
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Other Identifiers 5

Other2346511NC · Medicare Ptan
OtherDF5077Railroad Medicare
Other89261Bcbs Nc
Medicaid8989261NC
Medicare PINDF5077

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) 34D1043499

Mountainview Skin Care PC · Winston-Salem, NC
Active · expires Jul 25, 2027
CLIA Number34D1043499
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorPaul D. Wortman
Laboratory Phone(336) 983-3230
Laboratory LocationMountainview Skin Care PC127 South Poplar Street, Winston-Salem, NC 27101
CLIA data matches this NPI record on: Name
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 Mountainview Skin Care PC's NPI number?

The NPI number for Mountainview Skin Care PC is 1649492232. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Mountainview Skin Care PC located?

Mountainview Skin Care PC is located at 4680 Brownsboro Rd B, Winston Salem, NC 27106. The listed phone number is (336) 893-8423.

What is Mountainview Skin Care PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Mountainview Skin Care PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1043499) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountainview Skin Care PC was last updated on November 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.