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Beavers Dermatology & Skin Surgery, Pllc

Dermatology Physician in Eden, NC · enumerated 2011 · authorized official Clarence Beavers, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477842573

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Registry record

Entity type Organization (Type 2)
Legal business name Beavers Dermatology & Skin Surgery, Pllc
Practice address 207 E Meadow Rd Ste 1, Eden, NC, 27288
Phone (336) 627-3194
Fax (336) 627-3208
Enumeration date Mar 30, 2011
Last updated in NPPES Aug 10, 2023

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 39543 (NC) Primary

Authorized official

Name Clarence Beavers
Title Owner
Phone (336) 627-3194

Other identifiers

Identifier Type State Issuer
2154554C Other NC MEDICARE
DR4608 Other NC RAILROAD MEDICARE
5917187 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Beavers Dermatology & Skin Surgery, Pllc?
NPPES lists Clarence Beavers (Owner) as the authorized official for this organization.
What is the NPI number for Beavers Dermatology & Skin Surgery, Pllc?
The NPI for Beavers Dermatology & Skin Surgery, Pllc is 1477842573, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-08-10.