Green Mountain Dermatology PLLC
NPI 1093577827 · Dermatology Physician · Colchester, VT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Green Mountain Dermatology PLLC is a Dermatology Physician organization in Colchester, VT (NPI 1093577827).
Provider details
- NPI number
- 1093577827
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Haley, Authorized Official(561) 314-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Four Seasons Dermatology
Additional practice locations (1)
- 2 Healey AvePlattsburgh, NY 12901-2413Phone: (802) 864-0192
Registry dates
- Enumerated
- 2024-01-26
- Last updated
- 2024-10-11
- Certified
- 2024-10-11
Frequently asked questions
- What is Green Mountain Dermatology PLLC's NPI number?
- Green Mountain Dermatology PLLC's National Provider Identifier (NPI) is 1093577827, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Mountain Dermatology PLLC?
- Green Mountain Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Green Mountain Dermatology PLLC located?
- Green Mountain Dermatology PLLC's practice location on file with NPPES is 354 Mountain View Dr, Colchester, VT 05446-5968.
- What is Green Mountain Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Green Mountain Dermatology PLLC is (802) 864-0192.
- Does Green Mountain Dermatology PLLC accept Medicare?
- Green Mountain Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Green Mountain Dermatology PLLC?
- The authorized official listed on Green Mountain Dermatology PLLC's NPPES record is Jennifer Haley, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Mountain Dermatology PLLC's NPI active?
- Yes — Green Mountain Dermatology PLLC's NPI (1093577827) is active in the NPPES registry as of the last update on 2024-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.