Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BALL DERMPATH, PA
NPI 1780928325
Pathology - Dermatopathology in Greensboro, NC

Active since November 20, 2012CLIA 34D2051022 · Accreditation
2006 NEW GARDEN RD, SUITE 106, GREENSBORO, NC 27410(336) 609-6240 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ball Dermpath, Pa NPPES

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

BALL DERMPATH, PA (NPI 1780928325) is a healthcare organization registered as a dermatopathology in Greensboro, North Carolina and active in the NPI registry since November 2012. The organization holds an CLIA Accreditation certificate valid through September 17, 2027 and lists Laura Hernandez, Enrollment Specialist, as its authorized official.

NPPES Registry Identity

NPI1780928325
Entity TypeOrganization
Primary Taxonomy207ZD0900X
Legal Business NameBALL DERMPATH, PA
Location Address2006 NEW GARDEN RD, SUITE 106Greensboro, NC 27410-2566
Mailing Address2006 New Garden RdGreensboro, NC 27410-2566 · (336) 609-6240 · Fax (336) 609-6238
Organization SubpartNo
Authorized OfficialLaura HernandezEnrollment Specialist · (813) 493-5252
Enumeration DateNovember 20, 2012
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1780928325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZD0900X
Definition
A dermatopathologist is an expert in diagnosing and monitoring 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 light microscopy, electron microscopy, and fluorescence microscopy.
2006 NEW GARDEN RD, Greensboro, NC 27410

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ball Dermpath, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ball Dermpath, PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Pathology
NPI 1134393929
2006 NEW GARDEN ROAD SUITE 106
Greensboro, NC 27410
(336) 609-6240
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1083853006
2006 NEW GARDEN RD
Greensboro, NC 27410
(336) 609-6240
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1396728291
2006 NEW GARDEN RD
Greensboro, NC 27410
(336) 609-6240
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1932219029
1450 PROFESSIONAL PARK DRIVE SUITE 150
Winston Salem, NC 27103
(336) 724-2434
✔ PECOS✔ Accepts Medicare26 mi
Pathology
NPI 1811282049
1001 S GEORGE ST
York, PA 17403
(717) 851-5001
✔ PECOS✔ Accepts Medicare314 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 Accreditation 34D2051022

Ball Dermpath, PA · Greensboro, NC
Active · expires Sep 17, 2027
CLIA Number34D2051022
Laboratory TypeIndependent
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorDr. Radoslaw Bieniek
Laboratory Phone(336) 609-6240
Laboratory LocationBall Dermpath, PA2006 New Garden Rd Ste 106, Greensboro, NC 27410
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Ball Dermpath, PA's NPI number?

The NPI number for Ball Dermpath, PA is 1780928325. It was assigned to this organization in the NPPES registry on November 20, 2012.

Where is Ball Dermpath, PA located?

Ball Dermpath, PA is located at 2006 New Garden Rd Suite 106, Greensboro, NC 27410. The listed phone number is (336) 609-6240.

What is Ball Dermpath, PA's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Dermatopathology, with taxonomy code 207ZD0900X.

Is Ball Dermpath, PA enrolled in Medicare?

Yes. Ball Dermpath, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ball Dermpath, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Pathology, reassign their Medicare billing to Ball Dermpath, 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ball Dermpath, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 34D2051022) is associated with this NPI, valid through September 17, 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 Ball Dermpath, PA was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.