The Skin & Wellness Center PLLC
NPI 1104668219 · Physician Assistant · Bladenboro, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Skin & Wellness Center PLLC is a Physician Assistant organization in Bladenboro, NC (NPI 1104668219).
Provider details
- NPI number
- 1104668219
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Crystal Edwards, Owner/Provider(910) 809-0030
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
1 documented practice location
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
Registry dates
- Enumerated
- 2024-06-10
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is The Skin & Wellness Center PLLC's NPI number?
- The Skin & Wellness Center PLLC's National Provider Identifier (NPI) is 1104668219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Skin & Wellness Center PLLC?
- The Skin & Wellness Center PLLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is The Skin & Wellness Center PLLC located?
- The Skin & Wellness Center PLLC's practice location on file with NPPES is 125 S Main St Ste a, Bladenboro, NC 28320-8440.
- What is The Skin & Wellness Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for The Skin & Wellness Center PLLC is (910) 809-0030.
- Does The Skin & Wellness Center PLLC accept Medicare?
- The Skin & Wellness Center 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 The Skin & Wellness Center PLLC?
- The authorized official listed on The Skin & Wellness Center PLLC's NPPES record is Crystal Edwards, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Skin & Wellness Center PLLC's NPI active?
- Yes — The Skin & Wellness Center PLLC's NPI (1104668219) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.