Dermatologic Surgery of the Carolinas LLC
NPI 1790961670 · MOHS-Micrographic Surgery Physician · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatologic Surgery of the Carolinas LLC is a MOHS-Micrographic Surgery Physician organization in Charlotte, NC (NPI 1790961670).
Provider details
- NPI number
- 1790961670
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Lane, Owner(704) 302-3707
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
18 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
- 2008-01-10
- Last updated
- 2014-06-02
Frequently asked questions
- What is Dermatologic Surgery of the Carolinas LLC's NPI number?
- Dermatologic Surgery of the Carolinas LLC's National Provider Identifier (NPI) is 1790961670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatologic Surgery of the Carolinas LLC?
- Dermatologic Surgery of the Carolinas LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatologic Surgery of the Carolinas LLC located?
- Dermatologic Surgery of the Carolinas LLC's practice location on file with NPPES is 15830 Ballantyne Medical Place, Charlotte, NC 28277.
- What is Dermatologic Surgery of the Carolinas LLC's phone number?
- The practice phone number listed in the NPPES registry for Dermatologic Surgery of the Carolinas LLC is (704) 919-1105.
- Does Dermatologic Surgery of the Carolinas LLC accept Medicare?
- Dermatologic Surgery of the Carolinas 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 Dermatologic Surgery of the Carolinas LLC?
- The authorized official listed on Dermatologic Surgery of the Carolinas LLC's NPPES record is David Lane, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatologic Surgery of the Carolinas LLC's NPI active?
- Yes — Dermatologic Surgery of the Carolinas LLC's NPI (1790961670) is active in the NPPES registry as of the last update on 2014-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.