Active NPI 1275508285 Individual Practitioner Male Practitioner

Jay L Clarke , MHS, PA-C

Physician Assistant • Arden, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jay Clarke, MHS, PA-C is a certified Physician Assistant practicing in Arden, NC. With approximately 26 years of clinical experience since graduating from Duke University School Of Medicine in 2000, Jay Clarke delivers high-quality medical care to the local community at 78 LONG SHOALS RD.

Jay Clarke is affiliated with Skin Surgery Center Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

78 Long Shoals Rd

Arden, NC 287047782

Telephone 8286840703

Fax 8286845344

Associated Practice Facility / Clinic

🏢 Carolina Mountain Dermatology, Pa Facility NPI 1982669131

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Arden, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +11.3 yrs vs City Avg

City Avg: 14.7 Yrs

State Avg: 13.1 Yrs

Regional Practice Density

27 Specialists

Practicing in Arden, NC (9374 Statewide)

Telehealth Adoption Rate

18.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Clarke (26 Years) 26 Yrs

Arden Specialty Average (14.7 Years) 14.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,551	691	$18.73	$5.21
99213 Established patient office or other outpatient visit, typically 15 minutes	2,219	1,683	$258.72	$72.22
17000 Destruction of skin growth	1,313	990	$191.07	$38.51
17110 Destruction of up to 14 skin growths	1,105	918	$319.64	$87.51
11102 Tangential biopsy of single skin lesion	564	485	$281.45	$64.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	367	274	$365.28	$101.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	317	282	$160.32	$44.77
11103 Biopsy of related skin growth, each additional growth	171	119	$140.90	$39.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$316.28	$88.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	110	90	$504.29	$125.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	25	$40.70	$11.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	62	56	$3.06	$0.98
17004 Destruction of precancer skin growth, 15 or more growths	55	48	$471.03	$131.57
11900 Injection into skin growth, 1-7 growths	50	47	$162.00	$36.63
69100 Biopsy of ear	43	40	$268.23	$60.56
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	30	$688.76	$118.53
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	29	$853.46	$234.07
17111 Destruction of skin growth, 15 or more growths	29	25	$374.33	$101.72
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	27	27	$533.37	$148.97
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$204.42	$57.30
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	23	$419.36	$100.67
11104 Punch biopsy, first skin growth	18	17	$350.57	$97.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$473.63	$132.83
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$470.02	$119.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,201	431	$18.93	$5.34
99213 Established patient office or other outpatient visit, typically 15 minutes	1,387	1,030	$257.04	$72.78
17000 Destruction of skin growth	855	648	$190.12	$38.52
17110 Destruction of up to 14 skin growths	746	594	$320.90	$90.01
11102 Tangential biopsy of single skin lesion	448	383	$287.37	$68.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	254	225	$160.16	$45.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	188	$361.76	$102.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	160	160	$317.81	$90.32
11103 Biopsy of related skin growth, each additional growth	89	67	$143.48	$40.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	81	44	$3.21	$1.06
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	69	62	$506.09	$131.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	51	19	$40.05	$11.36
11900 Injection into skin growth, 1-7 growths	50	39	$158.71	$37.52
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	49	49	$866.99	$238.72
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	37	$696.93	$105.87
69100 Biopsy of ear	34	30	$266.06	$54.86
17004 Destruction of precancer skin growth, 15 or more growths	29	24	$472.95	$135.71
29580 Strapping, unna boot	27	14	$198.27	$58.11
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$206.58	$58.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$473.54	$134.83
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	21	$538.49	$140.78
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	13	$518.46	$123.90
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	13	12	$11.24	$3.89
11901 Injection into skin growth, more than 7 growths	13	11	$193.65	$49.99
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	11	11	$803.13	$132.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,907	390	$14.19	$5.48
99213 Established patient office or other outpatient visit, typically 15 minutes	1,143	900	$192.63	$73.96
17000 Destruction of skin growth	770	567	$161.03	$40.11
17110 Destruction of up to 14 skin growths	600	510	$208.89	$90.55
11102 Tangential biopsy of single skin lesion	380	321	$241.02	$70.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	229	$272.71	$104.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	190	173	$117.62	$46.07
11103 Biopsy of related skin growth, each additional growth	110	79	$126.52	$41.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	83	58	$3.02	$1.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	82	66	$424.29	$128.05
11900 Injection into skin growth, 1-7 growths	75	62	$134.36	$37.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	60	11	$53.67	$11.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$263.05	$92.01
29580 Strapping, unna boot	35	15	$139.70	$50.42
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	29	$730.84	$248.47
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	27	26	$594.24	$118.76
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	26	19	$346.74	$99.71
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	20	$451.56	$131.94
17004 Destruction of precancer skin growth, 15 or more growths	22	19	$371.87	$138.13
69100 Biopsy of ear	19	19	$237.50	$70.60
11104 Punch biopsy, first skin growth	18	18	$300.36	$103.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$400.11	$137.88
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$178.38	$59.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,850	405	$13.00	$5.29
99213 Established patient office or other outpatient visit, typically 15 minutes	1,104	879	$176.00	$75.50
17000 Destruction of skin growth	784	586	$160.00	$41.24
17110 Destruction of up to 14 skin growths	589	483	$175.00	$91.20
11102 Tangential biopsy of single skin lesion	449	380	$238.00	$73.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	449	318	$260.00	$106.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	212	192	$105.00	$46.03
11103 Biopsy of related skin growth, each additional growth	117	87	$128.00	$43.31
11900 Injection into skin growth, 1-7 growths	107	86	$133.00	$36.91
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	105	80	$3.00	$1.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$261.00	$93.28
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	77	63	$420.00	$132.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	42	40	$727.00	$256.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	36	$594.00	$108.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$399.00	$138.19
29580 Strapping, unna boot	36	12	$127.00	$52.87
17004 Destruction of precancer skin growth, 15 or more growths	34	28	$361.00	$133.02
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	26	22	$344.00	$99.27
69100 Biopsy of ear	26	24	$242.00	$59.76
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$180.00	$60.36
11104 Punch biopsy, first skin growth	23	23	$298.00	$105.10
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	17	17	$14.00	$4.25
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	11	$391.00	$116.76
10060 Simple or single drainage of skin abscess	12	12	$282.00	$102.68
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$447.00	$156.87
J1040 Injection, methylprednisolone acetate, 80 mg	11	11	$19.00	$10.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,729	401	$13.00	$4.95
99213 Established patient office or other outpatient visit, typically 15 minutes	962	766	$176.00	$62.11
17000 Destruction of skin growth	758	565	$160.00	$41.01
17110 Destruction of up to 14 skin growths	496	415	$175.00	$90.58
11102 Tangential biopsy of single skin lesion	440	368	$238.00	$74.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	308	$260.00	$90.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	295	225	$105.00	$37.18
11900 Injection into skin growth, 1-7 growths	109	86	$133.00	$36.63
11103 Biopsy of related skin growth, each additional growth	100	77	$128.00	$43.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	99	78	$3.00	$1.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$261.00	$89.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	69	56	$420.00	$127.70
29580 Strapping, unna boot	54	17	$127.00	$53.44
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	34	$594.00	$126.21
99201 New patient office or other outpatient visit, typically 10 minutes	33	33	$106.00	$37.78
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	32	30	$727.00	$251.02
69100 Biopsy of ear	28	20	$242.00	$62.68
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	27	22	$14.00	$4.39
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	24	19	$344.00	$90.69
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$180.00	$61.23
J1040 Injection, methylprednisolone acetate, 80 mg	16	16	$19.00	$11.55
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	14	$447.00	$150.78
10060 Simple or single drainage of skin abscess	12	12	$282.00	$100.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,964	438	$13.00	$4.54
99213 Established patient office or other outpatient visit, typically 15 minutes	1,038	833	$176.00	$60.98
17000 Destruction of skin growth	839	625	$160.00	$41.04
17110 Destruction of up to 14 skin growths	506	428	$175.00	$88.47
11102 Tangential biopsy of single skin lesion	500	420	$238.00	$71.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	432	332	$105.00	$36.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	417	372	$260.00	$89.03
96900 Application of ultraviolet light to skin	199	12	$50.00	$17.30
11103 Biopsy of related skin growth, each additional growth	137	98	$128.00	$43.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$261.00	$88.27
11900 Injection into skin growth, 1-7 growths	94	73	$133.00	$36.65
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	68	59	$420.00	$127.83
99201 New patient office or other outpatient visit, typically 10 minutes	66	66	$106.00	$37.40
29580 Strapping, unna boot	48	21	$127.00	$50.83
11104 Punch biopsy, first skin growth	35	35	$298.00	$101.24
69100 Biopsy of ear	32	30	$242.00	$62.81
17004 Destruction of precancer skin growth, 15 or more growths	29	23	$361.00	$121.02
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	25	$447.00	$142.80
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	28	26	$14.00	$4.49
11901 Injection into skin growth, more than 7 growths	27	26	$168.00	$48.10
J1040 Injection, methylprednisolone acetate, 80 mg	26	25	$19.00	$12.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	22	$594.00	$114.99
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	22	$727.00	$248.96
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$180.00	$62.65
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	17	$344.00	$98.68
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$492.00	$155.63
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	12	$681.00	$174.53
40490 Biopsy of lip	12	11	$313.00	$99.29
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	11	$391.00	$117.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,383	475	$13.00	$4.20
99213 Established patient office or other outpatient visit, typically 15 minutes	1,004	813	$176.00	$59.17
17000 Destruction of skin growth	907	666	$160.00	$40.93
11100 Biopsy of single growth of skin and/or tissue	514	438	$248.00	$77.91
17110 Destruction of up to 14 skin growths	459	382	$175.00	$88.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	444	335	$105.00	$35.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	273	$260.00	$86.39
J9250 Methotrexate sodium, 5 mg	221	11	$19.00	$0.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$261.00	$87.64
11101 Biopsy of each additional growth of skin and/or tissue	116	89	$79.00	$25.87
11900 Injection into skin growth, 1-7 growths	78	70	$133.00	$37.14
99201 New patient office or other outpatient visit, typically 10 minutes	67	67	$106.00	$36.09
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	67	14	$60.00	$16.56
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	63	58	$420.00	$132.12
69100 Biopsy of ear	38	32	$242.00	$61.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	37	$727.00	$243.87
17004 Destruction of precancer skin growth, 15 or more growths	33	27	$361.00	$116.84
29580 Strapping, unna boot	32	22	$127.00	$48.55
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	30	28	$14.00	$4.55
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	27	$594.00	$111.19
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	27	$447.00	$144.58
36415 Insertion of needle into vein for collection of blood sample	26	20	$3.00	$2.71
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	25	25	$344.00	$98.59
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$180.00	$61.20
11901 Injection into skin growth, more than 7 growths	22	19	$168.00	$45.17
J1040 Injection, methylprednisolone acetate, 80 mg	21	20	$19.00	$13.01
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	12	12	$391.00	$121.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,059	575	$8.66	$4.46
17000 Destruction of skin growth	1,026	745	$104.73	$41.74
99213 Established patient office or other outpatient visit, typically 15 minutes	843	683	$125.52	$59.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	662	487	$71.74	$35.14
11100 Biopsy of single growth of skin and/or tissue	607	489	$159.71	$74.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	411	$129.45	$86.88
17110 Destruction of up to 14 skin growths	403	346	$140.35	$87.56
11101 Biopsy of each additional growth of skin and/or tissue	249	136	$50.51	$25.87
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	115	73	$292.96	$116.56
J9250 Methotrexate sodium, 5 mg	115	12	$19.00	$0.26
11900 Injection into skin growth, 1-7 growths	111	91	$84.31	$36.01
99202 New patient office or other outpatient visit, typically 20 minutes	68	68	$130.87	$60.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$172.24	$87.50
99201 New patient office or other outpatient visit, typically 10 minutes	65	65	$65.78	$35.47
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	55	34	$223.83	$84.73
17004 Destruction of precancer skin growth, 15 or more growths	49	43	$212.97	$121.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	42	38	$519.48	$234.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	16	$51.34	$20.45
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	32	31	$5.74	$2.39
J1040 Injection, methylprednisolone acetate, 80 mg	25	24	$10.10	$7.96
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	21	$342.16	$140.11
36415 Insertion of needle into vein for collection of blood sample	22	17	$19.23	$2.94
29580 Strapping, unna boot	22	17	$109.58	$49.20
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	19	17	$481.82	$136.86
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	16	$225.78	$115.95
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	15	$304.19	$153.72
11901 Injection into skin growth, more than 7 growths	11	11	$122.40	$51.60
11601 Removal of malignant growth (0.6 to 1.0 centimeters) of the trunk, arms, or legs	11	11	$338.97	$92.04

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NC 103190

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License NC 103190

Definition to come...

Hospital & Practice Group Affiliations

Skin Surgery Center Pa

1450 Professional Park Dr, Winston Salem, NC 271031300

Phone: 3367242434

Skin Surgery Center Pa

78 Long Shoals Rd, Arden, NC 287047782

Phone: 8286840703

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Frederick Gourdin , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1215902663

Doctor of Medicine (M.D.)

Dr. Christopher Urban , MD

Dermatology - Procedural Dermatology

NPI 1508183286

Doctor of Medicine (M.D.)

Dr. Michael Cogburn , MD

Dermatology

NPI 1912972811

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 28, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2012

Registered at 78 LONG SHOALS RD, ARDEN, NC 287047782 (Tel: 8286840703)

📍

Updated Business Mailing Address August 28, 2012

Registered at 78 LONG SHOALS RD, ARDEN, NC 287047782 (Tel: 8286840703)

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Provider Name / Credentials Updated August 28, 2012

Recorded as JAY CLARKE, MHS, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2012

Physician Assistant (License #103190 in NC)

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Initial NPI Registration & Enumeration February 22, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275508285

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 22, 2006

Last Update: August 28, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

78 Long Shoals Rd

Arden, NC 287047782

Phone: 8286840703

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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