PEAK SKIN CENTER PLLC – NPI #1093408882
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

PEAK SKIN CENTER PLLC is a dermatologist located in FUQUAY VARINA, NC. NPPES has assigned the NPI number 1093408882 to PEAK SKIN CENTER PLLC on May 30, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery

The NPI profile was last updated on Oct 13, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEAK SKIN CENTER PLLC below.

NPI Profile for
PEAK SKIN CENTER PLLC

NPI Number
1093408882
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEAK SKIN CENTER PLLC
Primary location
1006 PROCURE ST STE 100
FUQUAY VARINA, NC 27526-2627
Phone: (919) 762-6845 Fax: (919) 762-6865
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS KNACKSTEDT
OWNER
Phone: (919) 762-6845
Updated
Certification Date
Oct 13, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0101X
- Dermatology / MOHS-Micrographic Surgery (Primary)
207NS0135X
- Dermatology / Procedural Dermatology
207N00000X
- Dermatology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.