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

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: August 09, 2026.

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
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

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

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.

Other Providers at the Same Location NPPES

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

Dermatology (MOHS-Micrographic Surgery)
300 ASHBY PARK LANE
GREENVILLE, SC 29607

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.

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 1 other insurer 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 9 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.