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RALEIGH SKIN SURGERY CENTER
NPI 1881864411
Dermatology - MOHS-Micrographic Surgery in Raleigh, NC

Active since March 11, 2008CLIA 34D1085830 · Certificate of Compliance
3811 ED DR., 110, RALEIGH, NC 27612(919) 390-0200(919) 390-0219 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raleigh Skin Surgery Center NPPES

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

RALEIGH SKIN SURGERY CENTER (NPI 1881864411) is a healthcare organization registered as a mohs-micrographic surgery in Raleigh, North Carolina and active in the NPI registry since March 2008. The organization holds a CLIA Certificate of Compliance certificate valid through September 1, 2027 and lists Tamara S Housman, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1881864411
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameRALEIGH SKIN SURGERY CENTER
Location Address3811 ED DR., 110Raleigh, NC 27612-8106
Mailing Address3811 Ed Drive, Suite 110Raleigh, NC 27612-8106 · (919) 390-0200 · Fax (919) 390-0219
Phone(919) 390-0200
Fax(919) 390-0219
Organization SubpartNo
Authorized OfficialTamara S HousmanMedical Director · (919) 390-0210
Enumeration DateMarch 11, 2008
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1881864411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NC · 200001428
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.
Also ListedDermatologyTaxonomy 207N00000X
3811 ED DR., Raleigh, NC 27612
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Other Identifiers 1

Other2021987AMedicare Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 34D1085830

Raleigh Skin Surgery Center, PLLC · Raleigh, NC
Active · expires Sep 1, 2027
CLIA Number34D1085830
Laboratory TypePhysician Office
Certificate Effective DateSeptember 2, 2025
Certificate Expiration DateSeptember 1, 2027
Laboratory DirectorTamara S. Housman
Laboratory Phone(919) 390-0200
Laboratory LocationRaleigh Skin Surgery Center, PLLC3811 Ed Drive, Suite 110, Raleigh, NC 27612
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.

Other Providers at the Same Location NPPES

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

TAMARA S HOUSMAN MD
Dermatology (MOHS-Micrographic Surgery)
3811 ED DR., SUITE 110
RALEIGH, NC 27612
Wake County (919) 390-0200

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 Raleigh Skin Surgery Center's NPI number?

The NPI number for Raleigh Skin Surgery Center is 1881864411. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Raleigh Skin Surgery Center located?

Raleigh Skin Surgery Center is located at 3811 Ed Dr. 110, Raleigh, NC 27612. The listed phone number is (919) 390-0200.

What is Raleigh Skin Surgery Center's specialty?

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

Does Raleigh Skin Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D1085830) is associated with this NPI, valid through September 1, 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 Raleigh Skin Surgery Center was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.