Jennifer Defazio, MD
Jennifer Defazio, MD is a Procedural Dermatology Physician in Greenville, NC, registered under NPI 1508988742.
Getting there
The practice address on file is 517 MOYE BLVD, Greenville, NC 27834. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2009-01325 | NC | Procedural Dermatology Physician primary |
| 22380 | WV | Procedural Dermatology Physician |
Licences are recorded in 2 states: NC, WV. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Dermatology
- PAC ID
- 6002960002
- Enrollment ID
- I20090810000545
Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: North Carolina and West Virginia. The practice address on file is in Greenville, NC, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 2009-01325
- Specialty
- Procedural Dermatology Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Procedural Dermatology covers
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). NUCC Health Care Provider Taxonomy, code 207NS0135X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207NS0135X | Procedural Dermatology Physician Procedural Dermatology | 2009-01325 | NC | primary |
| 207NS0135X | Procedural Dermatology Physician Procedural Dermatology | 22380 | WV |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1508988742 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 6, 2007 |
| Last updated | Feb 7, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
517 MOYE BLVD Greenville, NC 27834 (252) 744-3109 Fax (252) 744-2096 |
| Mailing address |
PO BOX 751069 Charlotte, NC 28275 |
| Other identifiers |
153RU
· Other (NC) 5912475 · Medicaid (NC) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 0 | 8 | 9 | 8 | 8 | 7 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 0 | 8 | 9 | 8 | 7 | 7 | 8 |
Sum = 78 · next multiple of 10 = 80 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.