OrganizationActive
Southern Dermatology LLC
NPI 1821367046 · Dermatology Physician · Aiken, SC
Provider details
- NPI number
- 1821367046
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Cook, Owner(803) 644-5779
- License
- 11685 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2110 Woodside Executive Ct
Aiken, SC 29803-3809
Phone: (803) 644-5779
Street-level locationGet directions
Mailing address
2110 Woodside Executive Ct
Aiken, SC 29803-3809
Registry dates
- Enumerated
- 2011-12-16
- Last updated
- 2011-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.