Carolina Dermatology Clinic, PA
NPI 1639202294 · Dermatology Physician · Charleston, SC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolina Dermatology Clinic, PA is a Dermatology Physician organization in Charleston, SC (NPI 1639202294).
Provider details
- NPI number
- 1639202294
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Kotz, Owner(843) 766-9868
- License
- 24039 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2011-01-18
Frequently asked questions
- What is Carolina Dermatology Clinic, PA's NPI number?
- Carolina Dermatology Clinic, PA's National Provider Identifier (NPI) is 1639202294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Carolina Dermatology Clinic, PA?
- Carolina Dermatology Clinic, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Carolina Dermatology Clinic, PA located?
- Carolina Dermatology Clinic, PA's practice location on file with NPPES is 933 Saint Andrews Blvd, Charleston, SC 29407.
- What is Carolina Dermatology Clinic, PA's phone number?
- The practice phone number listed in the NPPES registry for Carolina Dermatology Clinic, PA is (843) 766-9868.
- Does Carolina Dermatology Clinic, PA accept Medicare?
- Carolina Dermatology Clinic, PA 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 Clinic, PA?
- The authorized official listed on Carolina Dermatology Clinic, PA's NPPES record is Edward Kotz, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Carolina Dermatology Clinic, PA's NPI active?
- Yes — Carolina Dermatology Clinic, PA's NPI (1639202294) is active in the NPPES registry as of the last update on 2011-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.