DAVIE DERMATOLOGY, P.A.
NPI 1922060649
Specialist in Advance, NC

Q: What is Davie Dermatology, P.A.'s NPI number?

The NPI number for Davie Dermatology, P.A. is 1922060649. It was assigned to this organization in the NPPES registry on April 6, 2006.

Q: What is Davie Dermatology, P.A.'s specialty?

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

Active since April 06, 2006CLIA 34D0698872 · Certificate of Compliance

108 DORNACH WAY, ADVANCE, NC 27006(336) 940-2407(336) 940-2409 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Davie Dermatology, P.a. NPPES

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

DAVIE DERMATOLOGY, P.A. (NPI 1922060649) is a healthcare organization registered as a specialist in Advance, North Carolina and active in the NPI registry since April 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 20, 2027 and lists Tracie C Bryson, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1922060649

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDAVIE DERMATOLOGY, P.A.

Location Address108 DORNACH WAYAdvance, NC 27006-7305

Mailing Address108 Dornach WayAdvance, NC 27006-7305 · (336) 940-2407 · Fax (336) 940-2409

Phone(336) 940-2407

Fax(336) 940-2409

Organization SubpartNo

Authorized OfficialTracie C BrysonAuthorized Official · (336) 940-2407

Enumeration DateApril 6, 2006

Last NPPES UpdateJanuary 16, 2023

NPPES CertifiedJanuary 16, 2023

✔ NPI 1922060649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

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.

108 DORNACH WAY, Advance, NC 27006

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Other Identifiers 1

Medicaid890108VNC

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 Compliance 34D0698872

Davie Dermatology, PA · Advance, NC

Active · expires Aug 20, 2027

CLIA Number34D0698872

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateAugust 20, 2027

Laboratory DirectorFrank A. Lacy

Laboratory Phone(336) 940-2407

Laboratory LocationDavie Dermatology, PA108 Dornach Way, Advance, NC 27006

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 13

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

DAVIE ALLERGY AND ASTHMA CLINIC, PA

Internal Medicine (Allergy & Immunology)

108 DORNACH WAY, SUITE 200
ADVANCE, NC 27006

Davie County (336) 998-3833

MRS. STEFANIE MARIE ALVIS PA-C

Physician Assistant (Medical)