Carolina Dermatology Grp
NPI 1083693857 · Dermatology Physician · Columbia, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolina Dermatology Grp is a Dermatology Physician organization in Columbia, SC (NPI 1083693857).
Provider details
- NPI number
- 1083693857
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angela Grant, Practice Manager(803) 771-7506
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Dermatopathology Physician207ND0900X
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 220 Graces WayColumbia, SC 29229-1613Phone: (803) 771-7506Fax: (803) 771-9455
- 1702 Freedom BlvdFlorence, SC 29505-6069Phone: (843) 407-2030
Registry dates
- Enumerated
- 2006-01-11
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Frequently asked questions
- What is Carolina Dermatology Grp's NPI number?
- Carolina Dermatology Grp's National Provider Identifier (NPI) is 1083693857, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Dermatology Grp?
- Carolina Dermatology Grp is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Carolina Dermatology Grp located?
- Carolina Dermatology Grp's practice location on file with NPPES is 1777 Saint Julian Pl, Columbia, SC 29204-2419.
- What is Carolina Dermatology Grp's phone number?
- The practice phone number listed in the NPPES registry for Carolina Dermatology Grp is (803) 771-7506.
- Does Carolina Dermatology Grp accept Medicare?
- Carolina Dermatology Grp is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Carolina Dermatology Grp?
- The authorized official listed on Carolina Dermatology Grp's NPPES record is Angela Grant, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Dermatology Grp's NPI active?
- Yes — Carolina Dermatology Grp's NPI (1083693857) is active in the NPPES registry as of the last update on 2026-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.