1. Home
  2. Directory
  3. South Carolina
  4. Mount Pleasant
  5. Dermatology
  6. NPI Profile

COASTAL DERMATOLOGY, LLC
NPI 1164690822
Dermatology in Mount Pleasant, SC

Active since February 15, 2008
999 LAKE HUNTER CIR, MOUNT PLEASANT, SC 29464(843) 881-2265(843) 881-2789 Get Directions Write a Review

NPPES record last updated: May 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Dermatology, Llc NPPES

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

COASTAL DERMATOLOGY, LLC (NPI 1164690822) is a healthcare organization registered as a dermatology in Mount Pleasant, South Carolina and active in the NPI registry since February 2008. The organization lists Michele Ann Mittlebronn, Billing/ Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164690822
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOASTAL DERMATOLOGY, LLC
Location Address999 LAKE HUNTER CIRMount Pleasant, SC 29464-5427
Mailing Address999 Lake Hunter CirMount Pleasant, SC 29464-5427 · (843) 881-2265 · Fax (843) 881-2789
Phone(843) 881-2265
Fax(843) 881-2789
Organization SubpartNo
Authorized OfficialMichele Ann MittlebronnBilling/ Credentialing · (843) 881-2265
Enumeration DateFebruary 15, 2008
Last NPPES UpdateMay 10, 2011
✔ NPI 1164690822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in SC · 22838
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.
999 LAKE HUNTER CIR, Mount Pleasant, SC 29464
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN7692SC

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

Other Providers at the Same Location NPPES 4

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

TRIPLE CROWN OF MT PLEASANT LLC
Clinic/Center (Physical Therapy)
999 LAKE HUNTER CIR, SUITE B
MT PLEASANT, SC 29464
Charleston County (843) 388-3120
SARAH ADRIENNE MAXWELL PT, DPT
Physical Therapist
999 LAKE HUNTER CIR, SUITE B
MT PLEASANT, SC 29464
Charleston County (843) 388-3120
DR. MICHELE A MITTELBRONN M.D.
Dermatology
999 LAKE HUNTER CIR, SUITE B
MT PLEASANT, SC 29464
Charleston County (843) 881-2265
THE DIRECTIONS GROUP, INC.
Case Management
999 LAKE HUNTER CIR, SUITE A
MT PLEASANT, SC 29464
Charleston County (843) 849-0400

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 Coastal Dermatology, LLC's NPI number?

The NPI number for Coastal Dermatology, LLC is 1164690822. It was assigned to this organization in the NPPES registry on February 15, 2008.

Where is Coastal Dermatology, LLC located?

Coastal Dermatology, LLC is located at 999 Lake Hunter Cir, Mount Pleasant, SC 29464. The listed phone number is (843) 881-2265.

What is Coastal Dermatology, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Coastal Dermatology, LLC was last updated on May 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.