On Site Dermatology of North Carolina, PLLC
NPI 1376957340 · Dermatology Physician · Raleigh, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
On Site Dermatology of North Carolina, PLLC is a Dermatology Physician organization in Raleigh, NC (NPI 1376957340).
Provider details
- NPI number
- 1376957340
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Queen, Manager(561) 314-2000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
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
12 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
Additional practice locations (1)
- 100 Hedrick DrThomasville, NC 27360-6009Phone: (877) 345-5300Fax: (561) 989-3665
Registry dates
- Enumerated
- 2014-06-17
- Last updated
- 2025-04-04
- Certified
- 2025-04-04
Frequently asked questions
- What is On Site Dermatology of North Carolina, PLLC's NPI number?
- On Site Dermatology of North Carolina, PLLC's National Provider Identifier (NPI) is 1376957340, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is On Site Dermatology of North Carolina, PLLC?
- On Site Dermatology of North Carolina, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is On Site Dermatology of North Carolina, PLLC located?
- On Site Dermatology of North Carolina, PLLC's practice location on file with NPPES is 3737 Glenwood Ave Ste 100, Raleigh, NC 27612-5515.
- What is On Site Dermatology of North Carolina, PLLC's phone number?
- The practice phone number listed in the NPPES registry for On Site Dermatology of North Carolina, PLLC is (877) 345-5300.
- Does On Site Dermatology of North Carolina, PLLC accept Medicare?
- On Site Dermatology of North Carolina, 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 On Site Dermatology of North Carolina, PLLC?
- The authorized official listed on On Site Dermatology of North Carolina, PLLC's NPPES record is Jeffrey Queen, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is On Site Dermatology of North Carolina, PLLC's NPI active?
- Yes — On Site Dermatology of North Carolina, PLLC's NPI (1376957340) is active in the NPPES registry as of the last update on 2025-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.