EASTERN DERMATOLOGY PA
NPI 1972715241
Dermatology in Edenton, NC
About Eastern Dermatology Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERN DERMATOLOGY PA (NPI 1972715241) is a healthcare organization registered as a dermatology in Edenton, North Carolina and active in the NPI registry since May 2007. The organization lists Cameron Langley Smith, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
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 Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Eastern Dermatology PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Eastern Dermatology PA's NPI number?
The NPI number for Eastern Dermatology PA is 1972715241. It was assigned to this organization in the NPPES registry on May 7, 2007.
Where is Eastern Dermatology PA located?
Eastern Dermatology PA is located at 222 Virginia Rd, Edenton, NC 27932. The listed phone number is (252) 482-5661.
What is Eastern Dermatology PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Eastern Dermatology PA enrolled in Medicare?
Yes. Eastern Dermatology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eastern Dermatology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Eastern Dermatology PA. 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 (10), Nurse Practitioner (3) and Micrographic Dermatologic Surgery (MDS) (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Eastern Dermatology PA was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Eastern Dermatology Pa · NPI 1972715241
Dermatology organization in Edenton, North Carolina. Organization record, active in the CMS NPPES registry since May 7, 2007.
## Identity
- **NPI:** 1972715241 (Entity type: Organization)
- **Enumerated:** May 7, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Cameron Smith, PRESIDENT
## Practice location
- **Address:** 222 VIRGINIA RD, Edenton, NC 27932-9667
- **Phone:** (252) 482-5661 · **Fax:** (252) 758-8954
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (10), Nurse Practitioner (3), Micrographic Dermatologic Surgery (MDS) (2); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 11, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 230298 (NC); Medicaid 5902502 (NC); Other 01498 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1972715241) · Data from the CMS NPPES public registry.