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MECKLENBURG DERMATOLOGY ASSOCIATES PA
NPI 1902073455
Specialist in Gastonia, NC

Active since May 14, 2008
811 COX RD, GASTONIA, NC 28054(704) 833-0077(704) 865-7584 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mecklenburg Dermatology Associates Pa NPPES

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

MECKLENBURG DERMATOLOGY ASSOCIATES PA (NPI 1902073455) is a healthcare organization registered as a specialist in Gastonia, North Carolina and active in the NPI registry since May 2008. The organization lists Vanessa Fleming, Manager, as its authorized official.

NPPES Registry Identity

NPI1902073455
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMECKLENBURG DERMATOLOGY ASSOCIATES PA
Location Address811 COX RDGastonia, NC 28054-3453
Mailing Address811 Cox RdGastonia, NC 28054-3453 · (704) 833-0077 · Fax (704) 865-7584
Phone(704) 833-0077
Fax(704) 865-7584
Organization SubpartYesParent: Mecklenburg Dermatology Associates
Authorized OfficialVanessa FlemingManager · (704) 344-8846
Enumeration DateMay 14, 2008
✔ NPI 1902073455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NC · 88363
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.
811 COX RD, Gastonia, NC 28054
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Other Identifiers 1

Medicaid89011AXNC

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

Other Providers at the Same Location NPPES 7

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

CHEN SHI MD
Neurological Surgery
811 COX RD
GASTONIA, NC 28054
Gaston County (704) 272-3578
ASHVIN T RAGOOWANSI M.D.
Neurological Surgery
811 COX RD
GASTONIA, NC 28054
Gaston County (704) 852-3888
ASHLEY ANN DREW PA-C
Physician Assistant (Surgical)
811 COX RD
GASTONIA, NC 28054
Gaston County (704) 272-3578
STEVEN KENT GUDEMAN M.D
Neurological Surgery
811 COX RD
GASTONIA, NC 28054
Gaston County (704) 852-3888
CAROMONT MEDICAL GROUP INC
Neurological Surgery
811 COX RD
GASTONIA, NC 28054
Gaston County (704) 852-3888
BENJAMIN PAUL BOUDREAUX MD
Neurological Surgery
811 COX RD
GASTONIA, NC 28054
Gaston County (704) 272-3578
TINA NIXON BALLARD ACNP-BC
Nurse Practitioner (Acute Care)
811 COX RD
GASTONIA, NC 28054
Gaston County (704) 852-3888

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 Mecklenburg Dermatology Associates PA's NPI number?

The NPI number for Mecklenburg Dermatology Associates PA is 1902073455. It was assigned to this organization in the NPPES registry on May 14, 2008.

Where is Mecklenburg Dermatology Associates PA located?

Mecklenburg Dermatology Associates PA is located at 811 Cox Rd, Gastonia, NC 28054. The listed phone number is (704) 833-0077.

What is Mecklenburg Dermatology Associates PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Mecklenburg Dermatology Associates PA was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.