Northeastern Dermatology PLLC
NPI 1700490182 · Dermatology Physician · Rocky Mount, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Northeastern Dermatology PLLC is a Dermatology Physician organization in Rocky Mount, NC (NPI 1700490182).
Provider details
- NPI number
- 1700490182
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Willis Martin, Owner/Physician(252) 903-1372
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
5 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
- 2020-09-03
- Last updated
- 2020-09-03
- Certified
- 2020-09-03
Frequently asked questions
- What is Northeastern Dermatology PLLC's NPI number?
- Northeastern Dermatology PLLC's National Provider Identifier (NPI) is 1700490182, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeastern Dermatology PLLC?
- Northeastern Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Northeastern Dermatology PLLC located?
- Northeastern Dermatology PLLC's practice location on file with NPPES is 135 Woodridge Ct, Rocky Mount, NC 27804-2294.
- What is Northeastern Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northeastern Dermatology PLLC is (252) 903-1372.
- Does Northeastern Dermatology PLLC accept Medicare?
- Northeastern Dermatology 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 Northeastern Dermatology PLLC?
- The authorized official listed on Northeastern Dermatology PLLC's NPPES record is Willis Martin, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeastern Dermatology PLLC's NPI active?
- Yes — Northeastern Dermatology PLLC's NPI (1700490182) is active in the NPPES registry as of the last update on 2020-09-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.