CAROLINA DERMATOLOGY GRP
NPI 1083693857
Dermatology in Columbia, SC
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
Specialties & Licenses 3
Secondary Practice Locations 2
Other Identifiers 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)
Carolina Dermatology Grp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Carolina Dermatology Grp, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, SCCertificate of Compliance 42D0708752
Carolinas Dermatology And Plastic Surgery · Columbia, SCFrequently 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.
Is Carolina Dermatology Grp enrolled in Medicare?
Yes. Carolina Dermatology Grp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carolina Dermatology Grp?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Carolina Dermatology Grp. 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. The largest specialties are Dermatology (9), Nurse Practitioner (1) and Pathology (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health 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 7 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.
# Carolina Dermatology Grp · NPI 1083693857
Dermatology organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since January 11, 2006.
## Identity
- **NPI:** 1083693857 (Entity type: Organization)
- **Enumerated:** January 11, 2006
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Angela Grant, PRACTICE MANAGER
## Practice location
- **Address:** 1777 SAINT JULIAN PL, Columbia, SC 29204-2419
- **Phone:** (803) 771-7506 · **Fax:** (803) 771-9455
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (9), Nurse Practitioner (1), Pathology (1); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2026
- **Other identifiers:** Medicaid GP1028 (SC)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083693857) · Data from the CMS NPPES public registry.