SOUTH CAROLINA SKIN CANCER CENTER
NPI 1154344547
Dermatology - MOHS-Micrographic Surgery in Greenville, SC

Q: What is South Carolina Skin Cancer Center's NPI number?

The NPI number for South Carolina Skin Cancer Center is 1154344547. It was assigned to this organization in the NPPES registry on July 26, 2006.

Q: What is South Carolina Skin Cancer Center's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since July 26, 2006CLIA Certified · 2 labs

300 ASHBY PARK LANE, GREENVILLE, SC 29607(864) 288-1154(864) 288-2554 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About South Carolina Skin Cancer Center NPPES

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

SOUTH CAROLINA SKIN CANCER CENTER (NPI 1154344547) is a healthcare organization registered as a mohs-micrographic surgery in Greenville, South Carolina and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Spartanburg, and lists James R Debloom, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1154344547

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameSOUTH CAROLINA SKIN CANCER CENTER

Location Address300 ASHBY PARK LANEGreenville, SC 29607-6903

Mailing Address300 Ashby Park LaneGreenville, SC 29607-6903 · (864) 288-1154 · Fax (864) 288-2554

Phone(864) 288-1154

Fax(864) 288-2554

Organization SubpartNo

Authorized OfficialJames R DebloomOwner/physician · (864) 288-1154

Enumeration DateJuly 26, 2006

Last NPPES UpdateOctober 23, 2025

NPPES CertifiedOctober 23, 2025

✔ NPI 1154344547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in SC · TL28759

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

300 ASHBY PARK LANE, Greenville, SC 29607

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Secondary Practice Location 1

Location 1391 Serpentine Dr Ste 440Spartanburg, SC 29303-3081 · Phone (864) 410-1973 · Fax (864) 288-2554

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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil Health 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)

South Carolina Skin Cancer Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to South Carolina Skin Cancer Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

James Debloom, MD

Micrographic Dermatologic Surgery (MDS)

NPI 1396777124

300 ASHBY PARK LANE
Greenville, SC 29607

(864) 288-1154

✔ PECOS✔ Accepts MedicareSame address

Davis Diamond, MD

Micrographic Dermatologic Surgery (MDS)

NPI 1992332092

391 SERPENTINE DR STE 440
Spartanburg, SC 29303

(864) 410-1973

✔ PECOS✔ Accepts Medicare22 mi

Camille Mason, MD

Dermatology

NPI 1821063678

2526 HIGHWAY 72 E
Abbeville, SC 29620

(864) 227-2822

✔ PECOS✔ Accepts Medicare43 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 42D2331488

South Carolina Skin Cancer Center · Spartanburg, SC

Active · expires Oct 1, 2027

CLIA Number42D2331488

Laboratory TypePhysician Office

Certificate Effective DateOctober 2, 2025

Certificate Expiration DateOctober 1, 2027

Laboratory DirectorJames R. Debloom

Laboratory Phone(864) 288-1154

Laboratory LocationSouth Carolina Skin Cancer Center391 Serpentine Drive Suite 440, Spartanburg, SC 29303

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 of Compliance 42D1059762

South Carolina Skin Cancer Center James R Debloom II MD PA · Greenville, SC

Active · expires Jun 12, 2027

CLIA Number42D1059762

Laboratory TypePhysician Office

Certificate Effective DateJune 13, 2025

Certificate Expiration DateJune 12, 2027

Laboratory DirectorJames R. Debloom

Laboratory Phone(864) 288-1154

Laboratory LocationSouth Carolina Skin Cancer Center James R Debloom II MD PA300 Ashby Park Lane, Greenville, SC 29607

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.

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 South Carolina Skin Cancer Center's NPI number?

The NPI number for South Carolina Skin Cancer Center is 1154344547. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is South Carolina Skin Cancer Center located?

South Carolina Skin Cancer Center is located at 300 Ashby Park Lane, Greenville, SC 29607. The listed phone number is (864) 288-1154.

What is South Carolina Skin Cancer Center's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is South Carolina Skin Cancer Center enrolled in Medicare?

Yes. South Carolina Skin Cancer Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Carolina Skin Cancer Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to South Carolina Skin Cancer Center, in Dermatology and Micrographic Dermatologic Surgery (MDS). 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does South Carolina Skin Cancer Center 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 South Carolina Skin Cancer Center accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, InStil Health and Molina Healthcare list South Carolina Skin Cancer Center 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 South Carolina Skin Cancer Center was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.