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NPI · 1104668219 · NPPES-sourced

The Skin & Wellness Center PLLC

ActivePhysician Assistant
NPI Number
1104668219
Type 2 · Organisation
Taxonomy Code
363A00000X
Contact
(910) 809-0030
Primary practice line
Last Updated
Enumerated
Primary practice addressNC · 28320-8440
125 S Main St Ste ABladenboro, NC 28320-8440
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About this NPIWhat this record shows.

NPI 1104668219 is registered to The Skin & Wellness Center PLLC, a healthcare organisation classified as "Physician Assistant" and located at 125 S Main St Ste A in Bladenboro, North Carolina. The organisation's authorised official is Crystal Edwards. The organisation has been enumerated in the NPI registry since 2024.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans The Skin & Wellness Center PLLC accepts. To confirm in-network status with your specific health plan, contact The Skin & Wellness Center PLLC directly at (910) 809-0030.

Frequently asked

Yes. NPI 1104668219 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (910) 809-0030.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. The Skin & Wellness Center PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in North Carolina.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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