Southern Dermatology, P.A.
NPI 1568415586 · Specialist · Raleigh, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Dermatology, P.A. is a Specialist organization in Raleigh, NC (NPI 1568415586).
Provider details
- NPI number
- 1568415586
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Angela Peterman, MD(443) 351-3376
- License
- 9900389 (NC)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-05-19
- Last updated
- 2025-02-14
- Certified
- 2025-02-14
Frequently asked questions
- What is Southern Dermatology, P.A.'s NPI number?
- Southern Dermatology, P.A.'s National Provider Identifier (NPI) is 1568415586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Dermatology, P.A.?
- Southern Dermatology, P.A. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Southern Dermatology, P.A. located?
- Southern Dermatology, P.A.'s practice location on file with NPPES is 4201 Lake Boone Trl, Raleigh, NC 27607-7511.
- What is Southern Dermatology, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Southern Dermatology, P.A. is (919) 782-2152.
- Does Southern Dermatology, P.A. accept Medicare?
- Southern Dermatology, P.A. 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 Southern Dermatology, P.A.?
- The authorized official listed on Southern Dermatology, P.A.'s NPPES record is Angela Peterman, MD. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Dermatology, P.A.'s NPI active?
- Yes — Southern Dermatology, P.A.'s NPI (1568415586) is active in the NPPES registry as of the last update on 2025-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.