Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clemmons Dermatology

Organization Dermatology Physician · NPI 1295579555

Clemmons Dermatology is a Dermatology Physician in Clemmons, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

2515 Lewisville Clemmons Rd
Clemmons, NC 27012-8712
Phone: (336) 416-4093
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1295579555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beth Gurley — Physician Assistant · (336) 979-4499
NPI enumeratedJune 21, 2024
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address2515 Lewisville Clemmons Rd, Clemmons, NC 27012-8712