Medical & Surgical Dermatology, LLC
NPI 1619194404 · Dermatology Physician · Columbus, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Medical & Surgical Dermatology, LLC is a Dermatology Physician organization in Columbus, NC (NPI 1619194404).
Provider details
- NPI number
- 1619194404
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Neidenbach, Physician(828) 894-2473
- License
- 66555 (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
19 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
- Westgate Dermatology
- Doing business as
- Westgate Dermatology
Additional practice locations (1)
- 2430 Reidville RdSpartanburg, SC 29301-3652Phone: (904) 664-8644Fax: (904) 398-7048
Registry dates
- Enumerated
- 2007-04-20
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Frequently asked questions
- What is Medical & Surgical Dermatology, LLC's NPI number?
- Medical & Surgical Dermatology, LLC's National Provider Identifier (NPI) is 1619194404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Medical & Surgical Dermatology, LLC?
- Medical & Surgical Dermatology, LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Medical & Surgical Dermatology, LLC located?
- Medical & Surgical Dermatology, LLC's practice location on file with NPPES is 55 Palmer Jervey Dr Ste B, Columbus, NC 28722-0580.
- What is Medical & Surgical Dermatology, LLC's phone number?
- The practice phone number listed in the NPPES registry for Medical & Surgical Dermatology, LLC is (828) 894-2473.
- Does Medical & Surgical Dermatology, LLC accept Medicare?
- Medical & Surgical Dermatology, LLC 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 Medical & Surgical Dermatology, LLC?
- The authorized official listed on Medical & Surgical Dermatology, LLC's NPPES record is Peter Neidenbach, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Medical & Surgical Dermatology, LLC's NPI active?
- Yes — Medical & Surgical Dermatology, LLC's NPI (1619194404) is active in the NPPES registry as of the last update on 2025-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.