Blue Ridge Dermatology PA
NPI 1821083551 · Dermatology Physician · Clyde, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Blue Ridge Dermatology PA is a Dermatology Physician organization in Clyde, NC (NPI 1821083551).
Provider details
- NPI number
- 1821083551
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Masters, President Treasurer(828) 456-7343
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
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
- 2005-09-19
- Last updated
- 2020-08-22
Frequently asked questions
- What is Blue Ridge Dermatology PA's NPI number?
- Blue Ridge Dermatology PA's National Provider Identifier (NPI) is 1821083551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Blue Ridge Dermatology PA?
- Blue Ridge Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Blue Ridge Dermatology PA located?
- Blue Ridge Dermatology PA's practice location on file with NPPES is 540 Hospital Dr, Clyde, NC 28721-8027.
- What is Blue Ridge Dermatology PA's phone number?
- The practice phone number listed in the NPPES registry for Blue Ridge Dermatology PA is (828) 456-7343.
- Does Blue Ridge Dermatology PA accept Medicare?
- Blue Ridge Dermatology PA 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 Blue Ridge Dermatology PA?
- The authorized official listed on Blue Ridge Dermatology PA's NPPES record is Michael Masters, President Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Blue Ridge Dermatology PA's NPI active?
- Yes — Blue Ridge Dermatology PA's NPI (1821083551) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.