LESLY S. DAVIDSON, MD, PA
NPI 1003543190
Dermatology in Mt Pleasant, SC
About Lesly S. Davidson, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LESLY S. DAVIDSON, MD, PA (NPI 1003543190), doing business as Davidson Dermatology, is a healthcare organization registered as a dermatology in Mt Pleasant, South Carolina and active in the NPI registry since August 2022. The organization lists Lesly S Davidson, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lesly S. Davidson, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Lesly S. Davidson, MD, PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Mt Pleasant, SC 29464
Mount Pleasant, SC 29464
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lesly S. Davidson, MD, PA's NPI number?
The NPI number for Lesly S. Davidson, MD, PA is 1003543190. It was assigned to this organization in the NPPES registry on August 8, 2022. The provider is doing business as Davidson Dermatology.
Where is Lesly S. Davidson, MD, PA located?
Lesly S. Davidson, MD, PA is located at 901 Von Kolnitz Rd Ste 100, Mt Pleasant, SC 29464. The listed phone number is (843) 216-3376.
What is Lesly S. Davidson, MD, PA's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Lesly S. Davidson, MD, PA enrolled in Medicare?
Yes. Lesly S. Davidson, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lesly S. Davidson, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Lesly S. Davidson, MD, PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Lesly S. Davidson, MD, PA accept?
Health plans from BlueCross BlueShield of South Carolina list Lesly S. Davidson, MD, PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lesly S. Davidson, MD, PA was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lesly S. Davidson, Md, Pa · NPI 1003543190
Dermatology organization in Mt Pleasant, South Carolina. Organization record, active in the CMS NPPES registry since August 8, 2022.
## Identity
- **NPI:** 1003543190 (Entity type: Organization)
- **Enumerated:** August 8, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Also known as:** Davidson Dermatology (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Lesly Davidson, MD/OWNER
## Practice location
- **Address:** 901 VON KOLNITZ RD STE 100, Mt Pleasant, SC 29464-3772
- **Phone:** (843) 216-3376 · **Fax:** (843) 216-3242
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Dermatology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003543190) · Data from the CMS NPPES public registry.