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NPI · 1104847714 · NPPES-sourced

Polley Clinic Of Dermatology & Dermatologic Surgery

ActiveDermatopathology Physician
NPI Number
1104847714
Type 2 · Organisation
Taxonomy Code
207ND0900X
Contact
(252) 243-0566
License NC · 27881
Last Updated
Enumerated
Primary practice addressNC · 27893-4402
1806 Glendale Dr SwWilson, NC 27893-4402
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About this NPIWhat this record shows.

NPI 1104847714 is registered to Polley Clinic Of Dermatology & Dermatologic Surgery, a healthcare organisation classified as "Dermatopathology Physician" and located at 1806 Glendale Dr Sw in Wilson, North Carolina. The organisation's authorised official is Kelli Newman. The organisation has been enumerated in the NPI registry since 2006.

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.

Other

  • 2222414NC· Issued by FIRST HEALTH
  • 0296GNC· Issued by BCBS OF NC
  • 785505NC· Issued by UNITED HEALTH CARE
  • 68327NC· Issued by ACCORDIA
  • 7068303NC· Issued by CIGNA
  • 7257619NC· Issued by AETNA
  • DE4848NC· Issued by RAIL ROAD MEDICARE
  • 99494NC· Issued by MEDCOST

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 Polley Clinic Of Dermatology & Dermatologic Surgery accepts. To confirm in-network status with your specific health plan, contact Polley Clinic Of Dermatology & Dermatologic Surgery directly at (252) 243-0566.

Frequently asked

Yes. NPI 1104847714 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatopathology Physician 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 (252) 243-0566.

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. Polley Clinic Of Dermatology & Dermatologic Surgery is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207ND0900X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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Same specialtyOther Dermatopathology Physician providers in North Carolina.

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