CAROLINA DERMATOLOGY GRP
NPI 1083693857
Dermatology in Columbia, SC

Active since January 11, 2006CLIA Certified · 2 labs
1777 SAINT JULIAN PL, COLUMBIA, SC 29204(803) 771-7506(803) 771-9455 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2026, Jul 16, 2024 (2 updates tracked since 2024).

About Carolina Dermatology Grp NPPES

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

CAROLINA DERMATOLOGY GRP (NPI 1083693857) is a healthcare organization registered as a dermatology in Columbia, South Carolina and active in the NPI registry since January 2006. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Angela K Grant, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1083693857
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCAROLINA DERMATOLOGY GRP
Location Address1777 SAINT JULIAN PLColumbia, SC 29204-2419
Mailing Address220 Graces WayColumbia, SC 29229-1613 · (803) 771-7506 · Fax (803) 771-9455
Fax(803) 771-9455
Organization SubpartNo
Authorized OfficialAngela K GrantPractice Manager · (803) 771-7506
Enumeration DateJanuary 11, 2006
Last NPPES UpdateMarch 26, 20262 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
NPI 1083693857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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 · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
1777 SAINT JULIAN PL, Columbia, SC 29204

Secondary Practice Locations 2

Location 1220 Graces WayColumbia, SC 29229-1613 · Phone (803) 771-7506 · Fax (803) 771-9455
Location 21702 Freedom BlvdFlorence, SC 29505-6069 · Phone (843) 407-2030

Other Identifiers 1

MedicaidGP1028SC

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 42D2147843

Carolinas Dermatology Florence · Florence, SC
Active · expires Oct 11, 2027
CLIA Number42D2147843
Laboratory TypePhysician Office
Certificate Effective DateOctober 12, 2025
Certificate Expiration DateOctober 11, 2027
Laboratory DirectorJing G. Zhang
Laboratory Phone(843) 407-2030
Laboratory LocationCarolinas Dermatology Florence1702 Freedom Blvd, Florence, SC 29505
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 42D0708752

Carolinas Dermatology And Plastic Surgery · Columbia, SC
Active · expires Jun 8, 2027
CLIA Number42D0708752
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorJing G. Zhang
Laboratory Phone(803) 771-7506
Laboratory LocationCarolinas Dermatology And Plastic Surgery1777 St Julian Place, Columbia, SC 29204
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
1777 SAINT JULIAN PL
COLUMBIA, SC 29204

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 Carolina Dermatology Grp's NPI number?

The NPI number for Carolina Dermatology Grp is 1083693857. It was assigned to this organization in the NPPES registry on January 11, 2006.

Where is Carolina Dermatology Grp located?

Carolina Dermatology Grp is located at 1777 Saint Julian Pl, Columbia, SC 29204. The listed phone number is (803) 771-7506.

What is Carolina Dermatology Grp's specialty?

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

Does Carolina Dermatology Grp hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Carolina Dermatology Grp accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Carolina Dermatology Grp 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 Carolina Dermatology Grp was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.