DAVIE DERMATOLOGY, P.A.
NPI 1922060649
Specialist in Advance, NC
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted 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)
Davie Dermatology, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Davie Dermatology, P.A., which bills Medicare for the services they deliver. Of these, 8 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 Compliance 34D0698872
Davie Dermatology, PA · Advance, NCFrequently 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 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.
Where is Davie Dermatology, P.A. located?
Davie Dermatology, P.A. is located at 108 Dornach Way, Advance, NC 27006. The listed phone number is (336) 940-2407.
What is Davie Dermatology, P.A.'s specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Davie Dermatology, P.A. enrolled in Medicare?
Yes. Davie Dermatology, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Davie Dermatology, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Davie Dermatology, P.A.. 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. The largest specialties are Dermatology (9) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 8 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Davie Dermatology, P.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 34D0698872) is associated with this NPI, valid through August 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Davie Dermatology, P.A. accept?
Health plans from Blue Cross and Blue Shield of NC list Davie Dermatology, P.A. 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 Davie Dermatology, P.A. was last updated on January 16, 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.
# Davie Dermatology, P.a. · NPI 1922060649
Specialist organization in Advance, North Carolina. Organization record, active in the CMS NPPES registry since April 6, 2006.
## Identity
- **NPI:** 1922060649 (Entity type: Organization)
- **Enumerated:** April 6, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Tracie Bryson, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 108 DORNACH WAY, Advance, NC 27006-7305
- **Phone:** (336) 940-2407 · **Fax:** (336) 940-2409
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (9), Micrographic Dermatologic Surgery (MDS) (1); 8 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2023
- **Other identifiers:** Medicaid 890108V (NC)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1922060649) · Data from the CMS NPPES public registry.