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CAROLINA DERMATOLOGY PA
NPI 1104678085
Dermatology in Greenville, SC

Active since April 03, 2024CLIA Certified · 2 labs
5 STEVENS ST STE 300, GREENVILLE, SC 29605(864) 233-6338(864) 235-1982 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2025, Apr 25, 2024, Apr 5, 2024 (3 updates tracked since 2024).

About Carolina Dermatology Pa NPPES

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

CAROLINA DERMATOLOGY PA (NPI 1104678085), doing business as Carolina Dermatology Of Greenville, is a healthcare organization registered as a dermatology in Greenville, South Carolina and active in the NPI registry since April 2024. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Greenville, and lists Charles Darragh, Shareholder, as its authorized official.

NPPES Registry Identity

NPI1104678085
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCAROLINA DERMATOLOGY PA
Location Address5 STEVENS ST STE 300Greenville, SC 29605-4528
Mailing Address5 Stevens St Ste 300Greenville, SC 29605-4528 · (864) 233-6338 · Fax (864) 235-1982
Phone(864) 233-6338
Fax(864) 235-1982
Organization SubpartNo
Authorized OfficialCharles DarraghShareholder · (864) 293-0281
Enumeration DateApril 3, 2024
Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1104678085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
5 STEVENS ST STE 300, Greenville, SC 29605
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Other Names 1

Doing Business AsCarolina Dermatology Of Greenville

Secondary Practice Location 1

Location 110 Enterprise Blvd Ste 202Greenville, SC 29615-3554 · Phone (864) 233-6338

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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 Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Carolina Dermatology PA, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Charles Darragh, MD
Micrographic Dermatologic Surgery (MDS)
NPI 1245676774
5 STEVENS ST STE 300
Greenville, SC 29605
(864) 233-6338
✔ PECOS✔ Accepts MedicareSame address
Richard Jamison, M.D.
Dermatology
NPI 1669609665
5 STEVENS ST STE 300
Greenville, SC 29605
(864) 233-6338
✔ PECOS✔ Accepts MedicareSame address
John Kuhl, MD
Dermatology
NPI 1205814613
5 STEVENS ST STE 300
Greenville, SC 29605
(864) 233-6338
✔ PECOS✔ Accepts MedicareSame address
Amilcar Rizzo, M.D.
Dermatology
NPI 1285812131
5 STEVENS ST STE 300
Greenville, SC 29605
(864) 233-6338
✔ PECOS✔ Accepts MedicareSame address
Catherine Roach, MD
Dermatology
NPI 1295239770
5 STEVENS ST STE 300
Greenville, SC 29605
(864) 233-6338
✔ PECOS✔ Accepts MedicareSame address
Megan Scharf, MD
Dermatology
NPI 1164665659
5 STEVENS ST STE 300
Greenville, SC 29605
(864) 233-6338
✔ PECOS✔ Accepts MedicareSame address
Marshall Shuler, M.D.
Dermatology
NPI 1043335219
10 ENTERPRISE BLVD STE 202
Greenville, SC 29615
(864) 233-6338
✔ PECOS✔ Accepts Medicare10 mi

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 42D0252325

Carolina Dermatology, PA · Greenville, SC
Active · expires Dec 11, 2027
CLIA Number42D0252325
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDr. Charles T. Darragh
Laboratory Phone(864) 233-6338
Laboratory LocationCarolina Dermatology, PA5 Stevens St Ste 300, Greenville, SC 29605
CLIA data matches this NPI record on: Address Name 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 for Provider-Performed Microscopy Procedures (PPMP) 42D2332011

Carolina Dermatology, PA · Greenville, SC
Active · expires Oct 12, 2027
CLIA Number42D2332011
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2025
Certificate Expiration DateOctober 12, 2027
Laboratory DirectorCharles T. Darragh
Laboratory Phone(864) 233-6338
Laboratory LocationCarolina Dermatology, PA10 Enterprise Blvd, Ste 202, Greenville, SC 29615
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 PA's NPI number?

The NPI number for Carolina Dermatology PA is 1104678085. It was assigned to this organization in the NPPES registry on April 3, 2024. The provider is doing business as Carolina Dermatology of Greenville.

Where is Carolina Dermatology PA located?

Carolina Dermatology PA is located at 5 Stevens St Ste 300, Greenville, SC 29605. The listed phone number is (864) 233-6338.

What is Carolina Dermatology PA's specialty?

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

Is Carolina Dermatology PA enrolled in Medicare?

Yes. Carolina Dermatology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carolina Dermatology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Carolina Dermatology 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. The largest specialties are Dermatology (6) and Micrographic Dermatologic Surgery (MDS) (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Carolina Dermatology PA 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 PA accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina and BlueCross BlueShield of South Carolina list Carolina Dermatology 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 Carolina Dermatology PA was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.