ATLANTIC DERMATOLOGY, PA
NPI 1871043109
Dermatology in Wilmington, NC

Active since October 11, 2016CLIA Certified · 5 labs
1099 MEDICAL CENTER DR, WILMINGTON, NC 28401(910) 251-9944(910) 763-4666 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 31, 2021, Sep 24, 2020, Dec 17, 2019 and 4 more (7 updates tracked since 2016).

About Atlantic Dermatology, Pa NPPES

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

ATLANTIC DERMATOLOGY, PA (NPI 1871043109) is a healthcare organization registered as a dermatology in Wilmington, North Carolina and active in the NPI registry since October 2016. The organization holds 5 active CLIA laboratory certificates, maintains 3 additional practice locations, and lists Jonathan Stuart Crane, President/onwer, as its authorized official.

NPPES Registry Identity

NPI1871043109
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameATLANTIC DERMATOLOGY, PA
Location Address1099 MEDICAL CENTER DRWilmington, NC 28401-7346
Mailing Address1099 Medical Center DrWilmington, NC 28401-7346 · (910) 251-9944 · Fax (910) 763-4666
Fax(910) 763-4666
Organization SubpartNo
Authorized OfficialJonathan Stuart CranePresident/onwer · (910) 251-9944
Enumeration DateOctober 11, 2016
Last NPPES UpdateMarch 31, 20217 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1871043109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 34583
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.

1099 MEDICAL CENTER DR, Wilmington, NC 28401

Secondary Practice Locations 3

Location 1417 Vance St Fl 2Clinton, NC 28328-4001 · Phone (910) 251-9944 · Fax (910) 763-4666
Location 2308 S Bennett StBurgaw, NC 28425-5048 · Phone (910) 251-9944 · Fax (910) 763-4666
Location 3720 Jefferson StWhiteville, NC 28472-3706 · Phone (910) 251-9944

Other Identifiers 1

Other1871043109Npi

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

CLIA Laboratory Certificates CMS CLIA 5

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) 34D2148819

Atlantic Dermatology, PA · Burgaw, NC
Active · expires May 19, 2028
CLIA Number34D2148819
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorJonathan S. Crane
Laboratory Phone(910) 251-9944
Laboratory LocationAtlantic Dermatology, PA308 S Bennett Street, Burgaw, NC 28425
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.

Certificate of Compliance 34D2145310

Atlantic Dermatology, PA · Wilmington, NC
Active · expires Jan 27, 2028
CLIA Number34D2145310
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorChristopher E. Cook
Laboratory Phone(910) 251-9944
Laboratory LocationAtlantic Dermatology, PA1099 Medical Center Drive, Suite 201, Wilmington, NC 28401
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 34D2145317

Atlantic Dermatology, PA · Clinton, NC
Active · expires Jan 28, 2028
CLIA Number34D2145317
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorChristopher E. Cook
Laboratory Phone(910) 251-9944
Laboratory LocationAtlantic Dermatology, PA417 Vance Street 2nd Floor, Clinton, NC 28328
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 34D2184524

Atlantic Dermatology, PA · Whiteville, NC
Active · expires Jun 6, 2027
CLIA Number34D2184524
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorRene D. Bermudez
Laboratory Phone(910) 251-9944
Laboratory LocationAtlantic Dermatology, PA720 Jefferson Sreet, Whiteville, NC 28472
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 34D2237115

Atlantic Dermatology, PA · Shallotte, NC
Active · expires Jan 14, 2027
CLIA Number34D2237115
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorChristopher Cook
Laboratory Phone(910) 251-9944
Laboratory LocationAtlantic Dermatology, PA5272 Ocean Hwy West, Shallotte, NC 28470
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 11

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

Physician Assistant
1099 MEDICAL CENTER DR
WILMINGTON, NC 28401
Dermatology
1099 MEDICAL CENTER DR
WILMINGTON, NC 28401
Physician Assistant (Medical)
1099 MEDICAL CENTER DR, SUITE 201
WILMINGTON, NC 28401
Clinic/Center (Primary Care)
1099 MEDICAL CENTER DR, SUITE 100-A
WILMINGTON, NC 28401
Dermatology (MOHS-Micrographic Surgery)
1099 MEDICAL CENTER DR
WILMINGTON, NC 28401
Urology
1099 MEDICAL CENTER DR, STE 101
WILMINGTON, NC 28401
Dermatology
1099 MEDICAL CENTER DR
WILMINGTON, NC 28401
Urology
1099 MEDICAL CENTER DR, STE 101
WILMINGTON, NC 28401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871043109, enumerated as an "organization" on October 11, 2016.

The provider is located at 1099 MEDICAL CENTER DR WILMINGTON, NC 28401 and the phone number is (910) 251-9944.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.