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HENDERSONVILLE DERMATOLOGY, PLLC
NPI 1770949398
Dermatology in Flat Rock, NC

Active since January 12, 2016CLIA 34D2109355 · Certificate of Compliance
15 MARKET CENTER DR, STE A, FLAT ROCK, NC 28731(828) 697-1170(828) 698-4939 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 17, 2019, Feb 7, 2017, Jan 12, 2016 (3 updates tracked since 2016).

About Hendersonville Dermatology, Pllc NPPES

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

HENDERSONVILLE DERMATOLOGY, PLLC (NPI 1770949398) is a healthcare organization registered as a dermatology in Flat Rock, North Carolina and active in the NPI registry since January 2016. The organization holds a CLIA Certificate of Compliance certificate valid through January 28, 2028 and lists Seth Joseph Cohen, Owner, as its authorized official.

NPPES Registry Identity

NPI1770949398
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameHENDERSONVILLE DERMATOLOGY, PLLC
Location Address15 MARKET CENTER DR, STE AFlat Rock, NC 28731-8528
Mailing Address15 Market Center Dr Ste AFlat Rock, NC 28731-8529 · (828) 697-1170 · Fax (828) 698-4939
Phone(828) 697-1170
Fax(828) 698-4939
Organization SubpartNo
Authorized OfficialSeth Joseph CohenOwner · (828) 697-1170
Enumeration DateJanuary 12, 2016
Last NPPES UpdateJanuary 17, 20193 updates tracked since enumeration
✔ NPI 1770949398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in NC · 33967
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.
15 MARKET CENTER DR, Flat Rock, NC 28731
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Other Identifiers 2

OtherDW3295NC · Railroad Medicare
OtherF459NC · Medicare

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hendersonville Dermatology, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Hendersonville Dermatology, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Seth Cohen, M.D.
Dermatology
NPI 1780638437
15 MARKET CENTER DR STE A
Flat Rock, NC 28731
(828) 697-1170
✔ PECOSSame address
Jacqueline Selph, M.D.
Dermatology
NPI 1609219039
15 MARKET CENTER DR STE A
Flat Rock, NC 28731
(286) 978-1170
✔ PECOS✔ Accepts MedicareSame address
Brianna Wiener, NP-C
Nurse Practitioner
NPI 1770838864
547 N JUSTICE ST
Hendersonville, NC 28739
(828) 692-5096
✔ PECOS✔ Accepts Medicare3.0 mi

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

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 34D2109355

Hendersonville Dermatology, PLLC · Flat Rock, NC
Active · expires Jan 28, 2028
CLIA Number34D2109355
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorJacqueline N. Selph
Laboratory Phone(828) 697-1170
Laboratory LocationHendersonville Dermatology, PLLC15 Market Center Drive, Suite A, Flat Rock, NC 28731
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.

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 Hendersonville Dermatology, PLLC's NPI number?

The NPI number for Hendersonville Dermatology, PLLC is 1770949398. It was assigned to this organization in the NPPES registry on January 12, 2016.

Where is Hendersonville Dermatology, PLLC located?

Hendersonville Dermatology, PLLC is located at 15 Market Center Dr Ste A, Flat Rock, NC 28731. The listed phone number is (828) 697-1170.

What is Hendersonville Dermatology, PLLC's specialty?

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

Is Hendersonville Dermatology, PLLC enrolled in Medicare?

Yes. Hendersonville Dermatology, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hendersonville Dermatology, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Hendersonville Dermatology, PLLC, in Dermatology and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hendersonville Dermatology, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D2109355) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hendersonville Dermatology, PLLC was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.