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ENCORE DERMATOLOGY, INC
NPI 1912220799
Dermatology in Columbus, OH

Active since March 08, 2010CLIA 36D2004632 · Microscopy
4900 GETTYSBURG RD, COLUMBUS, OH 43220(614) 442-0100 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Encore Dermatology, Inc NPPES

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

ENCORE DERMATOLOGY, INC (NPI 1912220799) is a healthcare organization registered as a dermatology in Columbus, Ohio and active in the NPI registry since March 2010. The organization holds a CLIA Microscopy certificate valid through March 8, 2028 and lists Gwyn R Londeree, Owner, as its authorized official.

NPPES Registry Identity

NPI1912220799
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameENCORE DERMATOLOGY, INC
Location Address4900 GETTYSBURG RDColumbus, OH 43220-2520
Mailing Address4900 Gettysburg RdColumbus, OH 43220-2520 · (614) 442-1012 · Fax (614) 442-7726
Phone(614) 442-0100
Organization SubpartNo
Authorized OfficialGwyn R LondereeOwner · (614) 442-1012
Enumeration DateMarch 8, 2010
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
✔ NPI 1912220799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
4900 GETTYSBURG RD, Columbus, OH 43220
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Encore Dermatology, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gwyn Londeree, M.D.
Dermatology
NPI 1225025067
4900 GETTYSBURG RD
Columbus, OH 43220
(614) 442-0100
✔ 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 for Provider-Performed Microscopy Procedures (PPMP) 36D2004632

Encore Dermatology · Columbus, OH
Active · expires Mar 8, 2028
CLIA Number36D2004632
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorGwyn R. Londeree
Laboratory Phone(614) 442-1012
Laboratory LocationEncore Dermatology4900 Gettysburg Road, Columbus, OH 43220
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.

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 Encore Dermatology, Inc's NPI number?

The NPI number for Encore Dermatology, Inc is 1912220799. It was assigned to this organization in the NPPES registry on March 8, 2010.

Where is Encore Dermatology, Inc located?

Encore Dermatology, Inc is located at 4900 Gettysburg Rd, Columbus, OH 43220. The listed phone number is (614) 442-0100.

What is Encore Dermatology, Inc's specialty?

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

Is Encore Dermatology, Inc enrolled in Medicare?

Yes. Encore Dermatology, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Encore Dermatology, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Encore Dermatology, Inc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Encore Dermatology, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2004632) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Encore Dermatology, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Encore Dermatology, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Encore Dermatology, Inc was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.