FORT MILL DERMATOLOGY, LLC
NPI 1053334045
Dermatology in Fort Mill, SC

Active since July 25, 2006
1700 FIRST BAXTER XING, STE 101, FORT MILL, SC 29708(803) 802-3376(803) 802-3329 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fort Mill Dermatology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT MILL DERMATOLOGY, LLC (NPI 1053334045) is a healthcare organization registered as a dermatology in Fort Mill, South Carolina and active in the NPI registry since July 2006. The organization lists Rebecca Lynn Smith, President, as its authorized official.

NPPES Registry Identity

NPI1053334045
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFORT MILL DERMATOLOGY, LLC
Location Address1700 FIRST BAXTER XING, STE 101Fort Mill, SC 29708-8919
Mailing Address1700 First Baxter Xing, Ste 101Fort Mill, SC 29708-8919
Fax(803) 802-3329
Organization SubpartNo
Authorized OfficialRebecca Lynn SmithPresident · (803) 802-3376
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 29, 2007
NPI 1053334045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses Licensed in SC · 15514 Licensed in SC · 29310
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X · License 15514 (SC)
1700 FIRST BAXTER XING, Fort Mill, SC 29708

Other Identifiers 1

Medicare PIN8535SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1700 FIRST BAXTER XING
FORT MILL, SC 29708
Dermatology
1700 FIRST BAXTER XING, STE 101
FORT MILL, SC 29708
Dermatology
1700 FIRST BAXTER XING, STE 101
FORT MILL, SC 29708
Clinical Nurse Specialist (Psychiatric/Mental Health)
1700 FIRST BAXTER XING, SUITE 204
FORT MILL, SC 29708
Counselor (Mental Health)
1700 FIRST BAXTER XING, SUITE 204
FORT MILL, SC 29708
Dentist (Orthodontics and Dentofacial Orthopedics)
1700 FIRST BAXTER XING, SUITE 201
FORT MILL, SC 29708
Counselor (Professional)
1700 FIRST BAXTER XING, SUITE 204
FORT MILL, SC 29708
Counselor (Professional)
1700 FIRST BAXTER XING, SUITE 204
FORT MILL, SC 29708

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 Fort Mill Dermatology, LLC's NPI number?

The NPI number for Fort Mill Dermatology, LLC is 1053334045. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Fort Mill Dermatology, LLC located?

Fort Mill Dermatology, LLC is located at 1700 First Baxter Xing Ste 101, Fort Mill, SC 29708. The listed phone number is (803) 802-3376.

What is Fort Mill Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Fort Mill Dermatology, LLC was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.