ESTHETICS CENTER FOR DERMATOLOGY PA
NPI 1891879615
Specialist in Charlotte, NC

Q: What is Esthetics Center For Dermatology PA's NPI number?

The NPI number for Esthetics Center For Dermatology PA is 1891879615. It was assigned to this organization in the NPPES registry on October 25, 2006.

Q: What is Esthetics Center For Dermatology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since October 25, 2006CLIA 34D1052338 · Microscopy

353 CLEMENT AVE, CHARLOTTE, NC 28204(704) 370-2700(704) 370-2702 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Esthetics Center For Dermatology Pa NPPES

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

ESTHETICS CENTER FOR DERMATOLOGY PA (NPI 1891879615) is a healthcare organization registered as a specialist in Charlotte, North Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Microscopy certificate valid through March 22, 2028 and lists Peggy A. Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1891879615

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameESTHETICS CENTER FOR DERMATOLOGY PA

Location Address353 CLEMENT AVECharlotte, NC 28204-2431

Mailing Address353 Clement AveCharlotte, NC 28204-2431 · (704) 370-2700 · Fax (704) 370-2702

Phone(704) 370-2700

Fax(704) 370-2702

Organization SubpartNo

Authorized OfficialPeggy A. FullerOwner · (704) 370-2700

Enumeration DateOctober 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1891879615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NC · 127728

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

353 CLEMENT AVE, Charlotte, NC 28204

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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

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 for Provider-Performed Microscopy Procedures (PPMP) 34D1052338

Esthetics-Center For Dermatology · Charlotte, NC

Active · expires Mar 22, 2028

CLIA Number34D1052338

Laboratory TypePhysician Office

Certificate Effective DateMarch 23, 2026

Certificate Expiration DateMarch 22, 2028

Laboratory DirectorPeggy A. Fuller

Laboratory Phone(704) 370-2700

Laboratory LocationEsthetics-Center For Dermatology353 Clement Ave, Charlotte, NC 28204

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.

Other Providers at the Same Location NPPES

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

PEGGY A FULLER MD

Specialist

353 CLEMENT AVE
CHARLOTTE, NC 28204

Mecklenburg County (704) 370-2700

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 Esthetics Center For Dermatology PA's NPI number?

The NPI number for Esthetics Center For Dermatology PA is 1891879615. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Esthetics Center For Dermatology PA located?

Esthetics Center For Dermatology PA is located at 353 Clement Ave, Charlotte, NC 28204. The listed phone number is (704) 370-2700.

What is Esthetics Center For Dermatology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Esthetics Center For Dermatology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1052338) is associated with this NPI, valid through March 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Esthetics Center For Dermatology PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.