Columbia Dermatology LLC
NPI 1417349747 · Dermatology Physician · Columbia, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Columbia Dermatology LLC is a Dermatology Physician organization in Columbia, SC (NPI 1417349747).
Provider details
- NPI number
- 1417349747
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jessica Burgy, Physician(304) 894-4582
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Mailing address
Registry dates
- Enumerated
- 2015-02-24
- Last updated
- 2015-06-11
Frequently asked questions
- What is Columbia Dermatology LLC's NPI number?
- Columbia Dermatology LLC's National Provider Identifier (NPI) is 1417349747, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Columbia Dermatology LLC?
- Columbia Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Columbia Dermatology LLC located?
- Columbia Dermatology LLC's practice location on file with NPPES is 2241 Bush River Rd, Columbia, SC 29210-5626.
- What is Columbia Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Columbia Dermatology LLC is (304) 894-4582.
- Does Columbia Dermatology LLC accept Medicare?
- Columbia Dermatology LLC 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 Columbia Dermatology LLC?
- The authorized official listed on Columbia Dermatology LLC's NPPES record is Jessica Burgy, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Columbia Dermatology LLC's NPI active?
- Yes — Columbia Dermatology LLC's NPI (1417349747) is active in the NPPES registry as of the last update on 2015-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.