Pinehurst Dermatology PA
Pinehurst Dermatology PA is a healthcare organization registered as Specialist in Pinehurst, NC, holding Type 2 (organization) NPI 1912002460 since 2006. The authorized official on file is Vickie Millenbaugh, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912002460 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pinehurst Dermatology PA |
| Practice address | 120 BRAEMAR CT, Pinehurst, NC, 28374 |
| Phone | 9102955567 |
| Fax | 9102953315 |
| Enumeration date | 2006-09-13 |
| Last updated in NPPES | 2020-07-14 |
Authorized official
| Name | Vickie Millenbaugh |
|---|---|
| Title | Office Manager |
| Phone | 9102958748 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02423 | Other | NC | BLUE CROSS |
| 8902423 | Medicaid | NC | — |
Copy-ready billing details
Provider: Pinehurst Dermatology PA NPI: 1912002460 Taxonomy: 174400000X (Specialist) Address: 120 BRAEMAR CT, Pinehurst, NC, 28374
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1518062041 | Elena Avila | Individual | Medical Physician Assistant | Pinehurst, NC |
| 1184004160 | Christi Conley | Individual | Marriage & Family Therapist | Pinehurst, NC |
| 1306520143 | Stephen Cline | Individual | Clinical Social Worker | Pinehurst, NC |
| 1184496689 | Sandhills Behavioral Care, Pllc | Organization | Mental Health Clinic/Center (Including Community Mental Health Center) | Pinehurst, NC |
| 1588437065 | Joemel Jay Baloyo | Individual | Psychiatric/Mental Health Nurse Practitioner | Pinehurst, NC |
| 1295541746 | Erica Cheek | Individual | Clinical Social Worker | Pinehurst, NC |
| 1124903489 | Nariah Foy | Individual | Psychiatric/Mental Health Nurse Practitioner | Pinehurst, NC |
| 1164307005 | Dawn Adams | Individual | Psychiatric/Mental Health Nurse Practitioner | Pinehurst, NC |
Verify this record
Cross-check NPI 1912002460 against the authoritative CMS record: view Pinehurst Dermatology PA on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Pinehurst Dermatology PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-07-14.