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CAROLINA DERMATOLOGY AND SKIN CANCER SURGERY PA
NPI 1942428982
Dermatology in Wilmington, NC

Active since April 23, 2007CLIA 34D1008917 · Microscopy
1814 GLEN MEADE RD, WILMINGTON, NC 28403(910) 254-3544(910) 254-3543 Get Directions Write a Review

NPPES record last updated: October 29, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carolina Dermatology And Skin Cancer Surgery Pa NPPES

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

CAROLINA DERMATOLOGY AND SKIN CANCER SURGERY PA (NPI 1942428982) is a healthcare organization registered as a dermatology in Wilmington, North Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through January 30, 2027 and lists Billie F Cosgrove, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1942428982
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCAROLINA DERMATOLOGY AND SKIN CANCER SURGERY PA
Location Address1814 GLEN MEADE RDWilmington, NC 28403-6023
Mailing AddressPo Box 15430Wilmington, NC 28408-5430 · (910) 793-9545 · Fax (910) 397-0366
Phone(910) 254-3544
Fax(910) 254-3543
Organization SubpartNo
Authorized OfficialBillie F CosgroveManaging Partner · (910) 254-3544
Enumeration DateApril 23, 2007
Last NPPES UpdateOctober 29, 2014
✔ NPI 1942428982 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.
1814 GLEN MEADE RD, Wilmington, NC 28403
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Other Identifiers 2

Medicaid89015VKNC
Medicare PIN2330983NC

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)

Carolina Dermatology And Skin Cancer Surgery Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Carolina Dermatology And Skin Cancer Surgery PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Michael Sullivan, M.D.
Dermatology
NPI 1215019351
1814 GLEN MEADE RD
Wilmington, NC 28403
(910) 254-3544
✔ PECOS✔ Accepts MedicareSame address
Billie Cosgrove, M.D.
Dermatology
NPI 1821170945
1814 GLEN MEADE RD
Wilmington, NC 28403
(910) 254-3544
✔ PECOS✔ Accepts MedicareSame address
Stacey Edwards, FNP-C
Nurse Practitioner
NPI 1255923629
3333 BROOKVIEW HILLS BLVD STE 204
Winston Salem, NC 27103
(336) 774-3740
✔ PECOS✔ Accepts Medicare186 mi

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) 34D1008917

Carolina Dermatol And Skin Cancer Surg · Wilmington, NC
Active · expires Jan 30, 2027
CLIA Number34D1008917
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorBillie F. Cosgrove MD
Laboratory Phone(910) 254-3544
Laboratory LocationCarolina Dermatol And Skin Cancer Surg1814 Glen Meade Rd, Wilmington, NC 28403
CLIA data matches this NPI record on: Address 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 Carolina Dermatology And Skin Cancer Surgery PA's NPI number?

The NPI number for Carolina Dermatology And Skin Cancer Surgery PA is 1942428982. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Carolina Dermatology And Skin Cancer Surgery PA located?

Carolina Dermatology And Skin Cancer Surgery PA is located at 1814 Glen Meade Rd, Wilmington, NC 28403. The listed phone number is (910) 254-3544.

What is Carolina Dermatology And Skin Cancer Surgery PA's specialty?

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

Is Carolina Dermatology And Skin Cancer Surgery PA enrolled in Medicare?

Yes. Carolina Dermatology And Skin Cancer Surgery PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Dermatology And Skin Cancer Surgery PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Carolina Dermatology And Skin Cancer Surgery PA, in Dermatology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carolina Dermatology And Skin Cancer Surgery PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D1008917) is associated with this NPI, valid through January 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 Carolina Dermatology And Skin Cancer Surgery PA was last updated on October 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.