EASTERN DERMATOLOGY & PATHOLOGY
NPI 1932274610
Dermatology in Elizabeth City, NC

Q: What is Eastern Dermatology & Pathology's NPI number?

The NPI number for Eastern Dermatology & Pathology is 1932274610. It was assigned to this organization in the NPPES registry on November 21, 2006.

Q: What is Eastern Dermatology & Pathology's specialty?

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

Active since November 21, 2006

800 N MCPHERSON XING, ELIZABETH CITY, NC 27909(252) 331-1780(252) 331-2876 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Eastern Dermatology & Pathology NPPES

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

EASTERN DERMATOLOGY & PATHOLOGY (NPI 1932274610) is a healthcare organization registered as a dermatology in Elizabeth City, North Carolina and active in the NPI registry since November 2006. The organization lists Cameron L Smith, President, as its authorized official.

NPPES Registry Identity

NPI1932274610

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameEASTERN DERMATOLOGY & PATHOLOGY

Location Address800 N MCPHERSON XINGElizabeth City, NC 27909-9673

Mailing Address420 Spring Forest RdGreenville, NC 27834-7244 · (252) 752-4124 · Fax (252) 758-8954

Phone(252) 331-1780

Fax(252) 331-2876

Organization SubpartNo

Authorized OfficialCameron L SmithPresident · (252) 752-4124

Enumeration DateNovember 21, 2006

Last NPPES UpdateJune 28, 2012

✔ NPI 1932274610 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.

800 N MCPHERSON XING, Elizabeth City, NC 27909

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Other Identifiers 3

Medicaid5902503NC

Medicare ID-Type Unspecified230298NC · Group Number

Other01498NC · Bcbs Nc

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)

Eastern Dermatology & Pathology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 16 clinicians reassign Medicare billing to Eastern Dermatology & Pathology, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 4

Dermatology10

Nurse Practitioner3

Micrographic Dermatologic Surgery (MDS)2

Pathology1

Clinicians, nearest first (16)

Mathijs Brentjens, MD

Dermatology

NPI 1417966409

222 VIRGINIA RD
Edenton, NC 27932

(252) 752-4124

✔ PECOS✔ Accepts Medicare26 mi

Virginia Taylor, M.D.

Dermatology

NPI 1720288442