Davie Dermatology, P.A.
NPI 1922060649ActiveOrganization· Specialist· Advance, NC
Specialist in Advance, North Carolina, registered in NPPES in April 2006. The authorized official on file is Tracie C. Bryson, MD, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922060649 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2006 |
| Last updated in NPPES | Jan 16, 2023 |
| Certified by provider | Jan 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NC) |
|---|
Other Specialist providers in Advance
- 1366844482
- 1447454160
- 1770577074