INTRACOASTAL DERMATOLOGY AND SKIN SURGERY PLLC
NPI 1871375055
Dermatology in Leland, NC
About Intracoastal Dermatology And Skin Surgery Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INTRACOASTAL DERMATOLOGY AND SKIN SURGERY PLLC (NPI 1871375055) is a healthcare organization registered as a dermatology in Leland, North Carolina and active in the NPI registry since October 2023. The organization holds a CLIA Certificate of Compliance certificate valid through May 13, 2027 and lists Blair Harris, Member/organizer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
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 34D2307849
Intracoastal Dermatology And Skin Surgery PLLC · Leland, NCOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Intracoastal Dermatology And Skin Surgery PLLC's NPI number?
The NPI number for Intracoastal Dermatology And Skin Surgery PLLC is 1871375055. It was assigned to this organization in the NPPES registry on October 20, 2023.
Where is Intracoastal Dermatology And Skin Surgery PLLC located?
Intracoastal Dermatology And Skin Surgery PLLC is located at 509 Olde Waterford Way Ste 103, Leland, NC 28451. The listed phone number is (910) 631-0301.
What is Intracoastal Dermatology And Skin Surgery PLLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Does Intracoastal Dermatology And Skin Surgery PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 34D2307849) is associated with this NPI, valid through May 13, 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 Intracoastal Dermatology And Skin Surgery PLLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.