Intracoastal Dermatology and Skin Surgery PLLC
NPI 1871375055 · Dermatology Physician · Leland, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Intracoastal Dermatology and Skin Surgery PLLC is a Dermatology Physician organization in Leland, NC (NPI 1871375055).
Provider details
- NPI number
- 1871375055
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Blair Harris, Member/Organizer(910) 631-0301
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
- Pediatric Dermatology Physician207NP0225X
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-10-20
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Frequently asked questions
- What is Intracoastal Dermatology and Skin Surgery PLLC's NPI number?
- Intracoastal Dermatology and Skin Surgery PLLC's National Provider Identifier (NPI) is 1871375055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Intracoastal Dermatology and Skin Surgery PLLC?
- Intracoastal Dermatology and Skin Surgery PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Intracoastal Dermatology and Skin Surgery PLLC located?
- Intracoastal Dermatology and Skin Surgery PLLC's practice location on file with NPPES is 509 Olde Waterford Way Ste 103, Leland, NC 28451-4126.
- What is Intracoastal Dermatology and Skin Surgery PLLC's phone number?
- The practice phone number listed in the NPPES registry for Intracoastal Dermatology and Skin Surgery PLLC is (910) 631-0301.
- Does Intracoastal Dermatology and Skin Surgery PLLC accept Medicare?
- Intracoastal Dermatology and Skin Surgery 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 Intracoastal Dermatology and Skin Surgery PLLC?
- The authorized official listed on Intracoastal Dermatology and Skin Surgery PLLC's NPPES record is Blair Harris, Member/Organizer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Intracoastal Dermatology and Skin Surgery PLLC's NPI active?
- Yes — Intracoastal Dermatology and Skin Surgery PLLC's NPI (1871375055) is active in the NPPES registry as of the last update on 2025-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.