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MOUNTAIN LAUREL DERMATOLOGY, PLLC
NPI 1700298635
Dermatology in Clyde, NC

Active since May 27, 2014CLIA 34D0247590 · Microscopy
11 FALCON CREST LN, CLYDE, NC 28721(828) 565-0560 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mountain Laurel Dermatology, Pllc NPPES

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

MOUNTAIN LAUREL DERMATOLOGY, PLLC (NPI 1700298635) is a healthcare organization registered as a dermatology in Clyde, North Carolina and active in the NPI registry since May 2014. The organization holds a CLIA Microscopy certificate valid through October 12, 2027, maintains a secondary practice location in Clyde, and lists Gina R Singleton, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1700298635
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMOUNTAIN LAUREL DERMATOLOGY, PLLC
Location Address11 FALCON CREST LNClyde, NC 28721-6620
Mailing AddressPo Box 1921Clyde, NC 28721-1900 · (828) 565-0560
Phone(828) 565-0560
Organization SubpartNo
Authorized OfficialGina R SingletonManaging Physician · (828) 565-0560
Enumeration DateMay 27, 2014
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1700298635 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.
11 FALCON CREST LN, Clyde, NC 28721
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Secondary Practice Location 1

Location 111 Falcon Crest LaneClyde, NC 28721 · Phone (828) 565-0560 · Fax (828) 565-0562

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

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) 34D0247590

Mountain Laurel Dermatology, PLLC · Clyde, NC
Active · expires Oct 12, 2027
CLIA Number34D0247590
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorGina R. Singleton
Laboratory Phone(828) 565-0560
Laboratory LocationMountain Laurel Dermatology, PLLC11 Falcon Crest Lane, Clyde, NC 28721
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.

Other Providers at the Same Location NPPES 4

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

TIFFANY JENANN HALLMARK
Physician Assistant
11 FALCON CREST LN
CLYDE, NC 28721
Haywood County (828) 565-0560
KATHRYN CONNELLY CRUMBLEY PA
Physician Assistant
11 FALCON CREST LN
CLYDE, NC 28721
Haywood County (828) 565-0560
FRANCESCA SHROUT
Physician Assistant
11 FALCON CREST LN
CLYDE, NC 28721
Haywood County (828) 565-0560
COURTNEY ATKINS VILLASUSO PA-C
Physician Assistant (Medical)
11 FALCON CREST LN
CLYDE, NC 28721
Haywood County (828) 565-0560

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 Mountain Laurel Dermatology, PLLC's NPI number?

The NPI number for Mountain Laurel Dermatology, PLLC is 1700298635. It was assigned to this organization in the NPPES registry on May 27, 2014.

Where is Mountain Laurel Dermatology, PLLC located?

Mountain Laurel Dermatology, PLLC is located at 11 Falcon Crest Ln, Clyde, NC 28721. The listed phone number is (828) 565-0560.

What is Mountain Laurel Dermatology, PLLC's specialty?

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

Does Mountain Laurel Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0247590) is associated with this NPI, valid through October 12, 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 Mountain Laurel Dermatology, PLLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.