Anderson Dermatology and Skin Surgery Center
NPI 1790340750 · Dermatology Physician · Easley, SC
Anderson Dermatology and Skin Surgery Center is a Dermatology Physician organization in Easley, SC (NPI 1790340750).
Provider details
- NPI number
- 1790340750
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Anderson Dermatology and Skin Surgery Center, LLC
- Organization subpart
- Yes
- Authorized official
- Crystal Greer, Credentialing Specialist(864) 716-0063
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Other names (DBA / former)
- Other name
- Anderson Dermatology and Skin Surgery Center, LLC (easley)
Additional practice locations (1)
- 1501 N Main StAnderson, SC 29621-4734Phone: (864) 716-0063Fax: (864) 716-0073
Registry dates
- Enumerated
- 2019-05-06
- Last updated
- 2019-05-06
Frequently asked questions
- What is Anderson Dermatology and Skin Surgery Center's NPI number?
- Anderson Dermatology and Skin Surgery Center's National Provider Identifier (NPI) is 1790340750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Anderson Dermatology and Skin Surgery Center?
- Anderson Dermatology and Skin Surgery Center is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Anderson Dermatology and Skin Surgery Center located?
- Anderson Dermatology and Skin Surgery Center's practice location on file with NPPES is 112 John St Ste 105, Easley, SC 29640-1405.
- What is Anderson Dermatology and Skin Surgery Center's phone number?
- The practice phone number listed in the NPPES registry for Anderson Dermatology and Skin Surgery Center is (864) 855-2052.
- Who is the authorized official for Anderson Dermatology and Skin Surgery Center?
- The authorized official listed on Anderson Dermatology and Skin Surgery Center's NPPES record is Crystal Greer, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Anderson Dermatology and Skin Surgery Center's NPI active?
- Yes — Anderson Dermatology and Skin Surgery Center's NPI (1790340750) is active in the NPPES registry as of the last update on 2019-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.