OrganizationActive
Northeast Dermatology, PA
NPI 1154422558 · Dermatology Physician · Columbia, SC
Northeast Dermatology, PA is a Dermatology Physician organization in Columbia, SC (NPI 1154422558).
Provider details
- NPI number
- 1154422558
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lee Carson, President(803) 736-4560
- License
- 22975 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
220 Graces Way
Columbia, SC 29229
Phone: (803) 736-4560
Fax: (803) 744-1217
Street-level locationGet directions
Mailing address
220 Graces Way
Columbia, SC 29229
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2023-03-07
Frequently asked questions
- What is Northeast Dermatology, PA's NPI number?
- Northeast Dermatology, PA's National Provider Identifier (NPI) is 1154422558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Dermatology, PA?
- Northeast Dermatology, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Northeast Dermatology, PA located?
- Northeast Dermatology, PA's practice location on file with NPPES is 220 Graces Way, Columbia, SC 29229.
- What is Northeast Dermatology, PA's phone number?
- The practice phone number listed in the NPPES registry for Northeast Dermatology, PA is (803) 736-4560.
- Who is the authorized official for Northeast Dermatology, PA?
- The authorized official listed on Northeast Dermatology, PA's NPPES record is Lee Carson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Dermatology, PA's NPI active?
- Yes — Northeast Dermatology, PA's NPI (1154422558) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.