DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA
NPI 1023358231
Dermatology - Clinical & Laboratory Dermatological Immunology in Morehead City, NC
NPI Status: Active since February 25, 2013
Contact Information
3332 BRIDGES ST
SUITE B
MOREHEAD CITY, NC
ZIP 28557
Phone: (252) 633-4461
Fax: (252) 633-6016
- Organization
- Dermatology
- Clinical & Laboratory Dermatological Imm...
- CLIA Number: 34D2057330
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 08-25-2026
About DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA
This page provides the complete NPI Profile along with additional information for Dermatology Associates Of Coastal Carolina, a provider established in Morehead City, North Carolina operating as a Dermatology, focusing in clinical & laboratory dermatological immunology . The healthcare provider is registered in the NPI registry with number 1023358231 assigned on February 2013. The practitioner's primary taxonomy code is 207NI0002X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. James Polo M.d. (President/owner)
- NPI
- 1023358231
- Provider Name
- DERMATOLOGY ASSOCIATES OF COASTAL CAROLINA
- Entity Type
- Organization
- Location Address
- 3332 BRIDGES ST SUITE B MOREHEAD CITY, NC 28557
- Location Phone
- (252) 633-4461
- Location Fax
- (252) 633-6016
- Mailing Address
- PO BOX 890283 CHARLOTTE, NC 28289
- Mailing Phone
- (252) 633-4461
- Mailing Fax
- (252) 633-6016
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-25-2013
- Last Update Date
- 09-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology Clinical & Laboratory Dermatological Immunology
- Taxonomy Code
- 207NI0002X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2057330
- Facility Type
- Practitioner Other
- Certificate Effective Date
- August 26, 2024
- Certificate Expiration Date
- August 25, 2026
- Laboratory Director
- SCOTT D. MCCLELLAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Dermatology Associates Of Coastal Carolina in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 2 | 3 | 3 | 5 | 8 | 2 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 6 | 5 | 16 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 6 + 5 + 1 + 6 + 2 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1023358231 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881759363 | LECHRIS COUNSELING SERVICES, INC. Organization | Community/Behavioral Health | 3332 BRIDGES ST SUITE A MOREHEAD CITY, NC 28557 (252) 726-9006 |
| 1841327327 | MS. LINDA DEALE WEEKS-MCDONALD LPC Individual | Counselor | 3332 BRIDGES ST SUITE A MOREHEAD CITY, NC 28557 (252) 514-2555 |
| 1609996776 | MRS. SHARON GREENWAY IRVING APRN,BC Individual | Nurse Practitioner (Family) | 3332 BRIDGES ST SUITE A MOREHEAD CITY, NC 28557 (252) 726-9006 |
| 1114113198 | MAXIM HABILITATION SERVICES, LLC Organization | Day Training, Developmentally Disabled Services | 3332 BRIDGES ST SUITE 1-A MOREHEAD CITY, NC 28557 (252) 726-8746 |
| 1679751846 | RHA HEALTH SERVICES, INC. Organization | Community/Behavioral Health | 3332 BRIDGES ST MOREHEAD CITY, NC 28557 (252) 808-0052 |
| 1023270915 | RHA HEALTH SERVICES INC Organization | Community/Behavioral Health | 3332 BRIDGES ST SUITE 3A MOREHEAD CITY, NC 28557 (252) 808-0052 |
| 1871801308 | RHA HEALTH SERVICES, INC. Organization | Case Management | 3332 BRIDGES ST SUITE 3A MOREHEAD CITY, NC 28557 (252) 638-9091 |
| 1760757835 | LECHRIS COUNSELING SERVICES, INC. Organization | Community/Behavioral Health | 3332 BRIDGES ST MOREHEAD CITY, NC 28557 (252) 726-9600 |
| 1932471042 | ONE TO ONE COUNSELING & CONSULTING Organization | Community/Behavioral Health | 3332 BRIDGES ST SUITE 3A MOREHEAD CITY, NC 28557 (888) 557-1675 |
| 1992804041 | PATRICIA R WESTAWAY MA, LCMHC Individual | Counselor (Mental Health) | 3332 BRIDGES ST MOREHEAD CITY, NC 28557 (252) 222-0681 |
| 1598111866 | PHYLLIS CHRISTINE SMITH LMFTA Individual | Marriage & Family Therapist | 3332 BRIDGES ST SUITE 3A MOREHEAD CITY, NC 28557 (888) 557-1675 |
| 1578584215 | DR. RUTH PINNIX COX LMFT CRNPBC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3332 BRIDGES ST MOREHEAD CITY, NC 28557 (252) 726-9006 |
| 1871704080 | MRS. MARIA L. CRUZ MS. LMFT Individual | Marriage & Family Therapist | 3332 BRIDGES ST SUITE 3A MOREHEAD CITY, NC 28557 (888) 557-1675 |
| 1730334061 | TIA RENEE CROOMS LMFT Individual | Marriage & Family Therapist | 3332 BRIDGES ST SUITE 3A MOREHEAD CITY, NC 28557 (888) 557-1675 |
| 1538474291 | LECHRIS COUNSELING SERVICES, INC. Organization | Community/Behavioral Health | 3332 BRIDGES ST MOREHEAD CITY, NC 28557 (252) 726-9006 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023358231, enumerated in the NPI registry as an "organization" on February 25, 2013
The provider is located at 3332 Bridges St Suite B Morehead City, Nc 28557 and the phone number is (252) 633-4461
This medical organization specializes in Dermatology with taxonomy code 207NI0002X with a focus in Clinical & Laboratory Dermatological Immunology
The provider's CLIA number is 34D2057330 for a "practitioner other" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 25, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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