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

Kevin Shi

Individual provider MOHS-Micrographic Surgery Physician · NPI 1033679824

Kevin Shi is a Dermatology in Pinehurst, North Carolina. Graduated from University of Texas Southwestern Medical School at Dallas in 2019, 7 years ago. Practices with Skin Surgery Center PA, a 71-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
NC
In the registry since
2019
Specialties on file
2

Practice location Address checks out

5 Regional Cir # BC
Pinehurst, NC 28374-9863
Phone: (828) 322-7546
Fax: (828) 322-9927
Show map & directions

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

Additional practice locations (1)

  • 5323 Harry Hines Blvd, Dallas, TX 75390-7201 — (214) 999-9999

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 202400393 (NC)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 202400393 (NC)

Record details

NPI number1033679824
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESApril 2, 2024
Certification dateApril 2, 2024
Mailing address1450 Professional Park Dr Ste 150, Winston Salem, NC 27103-1307

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2019 (7 years in practice)
Group practice Skin Surgery Center Pa — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pinehurst