OUTER BANKS DERMATOLOGY
NPI 1912143462
Dermatology in Nags Head, NC

Active since January 05, 2009CLIA 34D1093817 · Waiver
2405 S CROATAN HWY, NAGS HEAD, NC 27959(252) 441-7546(252) 441-4151 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Outer Banks Dermatology NPPES

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

OUTER BANKS DERMATOLOGY (NPI 1912143462) is a healthcare organization registered as a dermatology in Nags Head, North Carolina and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through June 30, 2027 and lists Renee Glover, Owner, as its authorized official.

NPPES Registry Identity

NPI1912143462
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameOUTER BANKS DERMATOLOGY
Location Address2405 S CROATAN HWYNags Head, NC 27959-9015
Mailing Address2405 S Croatan HwyNags Head, NC 27959-9015 · (252) 441-7546 · Fax (252) 441-4151
Fax(252) 441-4151
Organization SubpartNo
Authorized OfficialRenee GloverOwner · (252) 441-7546
Enumeration DateJanuary 5, 2009
Last NPPES UpdateApril 16, 2019
NPI 1912143462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NC · 34013
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.
2405 S CROATAN HWY, Nags Head, NC 27959

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 of Waiver 34D1093817

Outer Banks Dermatology · Nags Head, NC
Active · expires Jun 30, 2027
CLIA Number34D1093817
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorRenee A. Glover
Laboratory Phone(252) 441-7546
Laboratory LocationOuter Banks Dermatology2405 S Croatan Highway, Nags Head, NC 27959
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 Outer Banks Dermatology's NPI number?

The NPI number for Outer Banks Dermatology is 1912143462. It was assigned to this organization in the NPPES registry on January 5, 2009.

Where is Outer Banks Dermatology located?

Outer Banks Dermatology is located at 2405 S Croatan Hwy, Nags Head, NC 27959. The listed phone number is (252) 441-7546.

What is Outer Banks Dermatology's specialty?

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

Does Outer Banks Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1093817) is associated with this NPI, valid through June 30, 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 Outer Banks Dermatology was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.