Beavers Dermatology & Skin Surgery, PLLC
NPI 1477842573 · Dermatology Physician · Eden, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beavers Dermatology & Skin Surgery, PLLC is a Dermatology Physician organization in Eden, NC (NPI 1477842573).
Provider details
- NPI number
- 1477842573
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clarence Beavers, Owner(336) 627-3194
- License
- 39543 (NC)
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
15 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
- 2011-03-30
- Last updated
- 2023-08-10
- Certified
- 2023-08-10
Frequently asked questions
- What is Beavers Dermatology & Skin Surgery, PLLC's NPI number?
- Beavers Dermatology & Skin Surgery, PLLC's National Provider Identifier (NPI) is 1477842573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beavers Dermatology & Skin Surgery, PLLC?
- Beavers Dermatology & Skin Surgery, PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Beavers Dermatology & Skin Surgery, PLLC located?
- Beavers Dermatology & Skin Surgery, PLLC's practice location on file with NPPES is 207 E Meadow Rd Ste 1, Eden, NC 27288-3469.
- What is Beavers Dermatology & Skin Surgery, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Beavers Dermatology & Skin Surgery, PLLC is (336) 627-3194.
- Does Beavers Dermatology & Skin Surgery, PLLC accept Medicare?
- Beavers Dermatology & Skin Surgery, 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 Beavers Dermatology & Skin Surgery, PLLC?
- The authorized official listed on Beavers Dermatology & Skin Surgery, PLLC's NPPES record is Clarence Beavers, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beavers Dermatology & Skin Surgery, PLLC's NPI active?
- Yes — Beavers Dermatology & Skin Surgery, PLLC's NPI (1477842573) is active in the NPPES registry as of the last update on 2023-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.