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VALLEY DERMATOLOGY, LLC
NPI 1902258064
Dermatology in Waynesboro, VA

Active since July 12, 2016CLIA 49D2117265 · Waiver
2611 W MAIN ST, SUITE 1, WAYNESBORO, VA 22980(540) 221-6702(540) 221-6704 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 7, 2023, Sep 13, 2016, Jul 12, 2016 (3 updates tracked since 2016).

About Valley Dermatology, Llc NPPES

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

VALLEY DERMATOLOGY, LLC (NPI 1902258064) is a healthcare organization registered as a dermatology in Waynesboro, Virginia and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Keith A Knoell, Owner, as its authorized official.

NPPES Registry Identity

NPI1902258064
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameVALLEY DERMATOLOGY, LLC
Location Address2611 W MAIN ST, SUITE 1Waynesboro, VA 22980-1600
Mailing Address2611 W Main St, Suite 1Waynesboro, VA 22980-1600 · (540) 221-6702 · Fax (540) 221-6704
Phone(540) 221-6702
Fax(540) 221-6704
Organization SubpartNo
Authorized OfficialKeith A KnoellOwner · (540) 221-6702
Enumeration DateJuly 12, 2016
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1902258064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in VA · 101058582
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.
2611 W MAIN ST, Waynesboro, VA 22980
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Other Identifiers 2

Other11180924Caqh
Other101058582Virginia State Medical License

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valley Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Valley Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Eli Crisler
Nurse Practitioner
NPI 1437814068
2611 W MAIN ST
Waynesboro, VA 22980
(540) 221-6702
✔ PECOS✔ Accepts MedicareSame address
Keith Knoell, M.D.
Dermatology
NPI 1396748109
2611 W MAIN ST STE 1
Waynesboro, VA 22980
(540) 221-6702
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 49D2117265

Valley Dermatology, LLC · Waynesboro, VA
Active · expires Aug 31, 2028
CLIA Number49D2117265
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorKeith A. Knoell
Laboratory Phone(540) 221-6702
Laboratory LocationValley Dermatology, LLC2611 West Main Street - Suite 1, Waynesboro, VA 22980
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Valley Dermatology, LLC's NPI number?

The NPI number for Valley Dermatology, LLC is 1902258064. It was assigned to this organization in the NPPES registry on July 12, 2016.

Where is Valley Dermatology, LLC located?

Valley Dermatology, LLC is located at 2611 W Main St Suite 1, Waynesboro, VA 22980. The listed phone number is (540) 221-6702.

What is Valley Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Valley Dermatology, LLC enrolled in Medicare?

Yes. Valley Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Valley Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Valley Dermatology, LLC, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Valley Dermatology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2117265) is associated with this NPI, valid through August 31, 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 Valley Dermatology, LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.