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DERMATOLOGIC SURGERY OF THE CAROLINAS LLC
NPI 1790961670
Dermatology - MOHS-Micrographic Surgery in Charlotte, NC

Active since January 10, 2008CLIA Certified · 3 labs
15830 BALLANTYNE MEDICAL PLACE, SUITE 225, CHARLOTTE, NC 28277(704) 919-1105(704) 910-3163 Get Directions Write a Review

NPPES record last updated: June 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dermatologic Surgery Of The Carolinas Llc NPPES

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

DERMATOLOGIC SURGERY OF THE CAROLINAS LLC (NPI 1790961670) is a healthcare organization registered as a mohs-micrographic surgery in Charlotte, North Carolina and active in the NPI registry since January 2008. The organization holds 3 active CLIA laboratory certificates and lists David R Lane, Owner, as its authorized official.

NPPES Registry Identity

NPI1790961670
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameDERMATOLOGIC SURGERY OF THE CAROLINAS LLC
Location Address15830 BALLANTYNE MEDICAL PLACE, SUITE 225Charlotte, NC 28277
Mailing Address15830 Ballantyne Medical Place, Suite 225Charlotte, NC 28277 · (704) 919-1105 · Fax (704) 910-3163
Phone(704) 919-1105
Fax(704) 910-3163
Organization SubpartNo
Authorized OfficialDavid R LaneOwner · (704) 302-3707
Enumeration DateJanuary 10, 2008
Last NPPES UpdateJune 2, 2014
✔ NPI 1790961670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
15830 BALLANTYNE MEDICAL PLACE, Charlotte, NC 28277
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Other Identifiers 1

Medicare PIN2075624NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 34D2002253

Dermatologic Surgery Of The Carolinas, LLC · Charlotte, NC
Active · expires Nov 3, 2027
CLIA Number34D2002253
Laboratory TypePhysician Office
Certificate Effective DateNovember 4, 2025
Certificate Expiration DateNovember 3, 2027
Laboratory DirectorDavid R. Lane
Laboratory Phone(704) 919-1105
Laboratory LocationDermatologic Surgery Of The Carolinas, LLC15830 Ballantyne Medical Place, Suite 225, Charlotte, NC 28277
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.

Certificate of Compliance 42D2114566

Dermatologic Surgery Of The Carolinas · Rock Hill, SC
Active · expires Nov 26, 2027
CLIA Number42D2114566
Laboratory TypePhysician Office
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorDavid R. Lane
Laboratory Phone(704) 919-1105
Laboratory LocationDermatologic Surgery Of The Carolinas420 S Herlong Avenue Suite 103, Rock Hill, SC 29732
CLIA data matches this NPI record on: 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.

Certificate of Compliance 34D2194504

Dermatologic Surgery Of The Carolinas · Mooresville, NC
Active · expires Feb 28, 2027
CLIA Number34D2194504
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDavid R. Lane
Laboratory Phone(704) 919-1105
Laboratory LocationDermatologic Surgery Of The Carolinas140 Leaning Oak Dr Ste 102, Mooresville, NC 28117
CLIA data matches this NPI record on: 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 4

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

JOHN F MAHONEY MD
Internal Medicine (Medical Oncology)
15830 BALLANTYNE MEDICAL PLACE, SUITE 200
CHARLOTTE, NC 28277
Mecklenburg County (704) 446-4000
MS. RUTH ANNE JAMESON FNP
Nurse Practitioner (Family)
15830 BALLANTYNE MEDICAL PLACE, SUITE 175
CHARLOTTE, NC 28277
Mecklenburg County (704) 377-4009
DR. DAVID RICHEY LANE M.D.
Dermatology (MOHS-Micrographic Surgery)
15830 BALLANTYNE MEDICAL PLACE, STE 225
CHARLOTTE, NC 28277
Mecklenburg County (704) 919-1105
MRS. LESSLIE MARQUEZ DURST P.A.-C
Physician Assistant
15830 BALLANTYNE MEDICAL PLACE, SUITE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 341-0090

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 Dermatologic Surgery Of The Carolinas LLC's NPI number?

The NPI number for Dermatologic Surgery Of The Carolinas LLC is 1790961670. It was assigned to this organization in the NPPES registry on January 10, 2008.

Where is Dermatologic Surgery Of The Carolinas LLC located?

Dermatologic Surgery Of The Carolinas LLC is located at 15830 Ballantyne Medical Place Suite 225, Charlotte, NC 28277. The listed phone number is (704) 919-1105.

What is Dermatologic Surgery Of The Carolinas LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Dermatologic Surgery Of The Carolinas LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Dermatologic Surgery Of The Carolinas LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Dermatologic Surgery Of The Carolinas LLC 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 Dermatologic Surgery Of The Carolinas LLC was last updated on June 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.