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POLARIS SKIN DIAGNOSTICS, LLC
NPI 1215575238
Dermatology - Dermatopathology in Myrtle Beach, SC

Active since December 20, 2019CLIA 42D2179374 · Certificate of Compliance
8170 ROURK STREET, SUITE 100, MYRTLE BEACH, SC 29572(917) 756-0188 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2025, Aug 4, 2020, Mar 16, 2020 and 1 more (4 updates tracked since 2019).

About Polaris Skin Diagnostics, Llc NPPES

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

POLARIS SKIN DIAGNOSTICS, LLC (NPI 1215575238) is a healthcare organization registered as a dermatopathology in Myrtle Beach, South Carolina and active in the NPI registry since December 2019. The organization holds a CLIA Certificate of Compliance certificate valid through April 11, 2028 and lists Stephen B Hammond, Owner, as its authorized official.

NPPES Registry Identity

NPI1215575238
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NamePOLARIS SKIN DIAGNOSTICS, LLC
Location Address8170 ROURK STREET, SUITE 100Myrtle Beach, SC 29572
Mailing Address8170 Rourk St Ste 100Myrtle Beach, SC 29572-4127 · (843) 282-1915 · Fax (843) 839-1812
Phone(917) 756-0188
Organization SubpartNo
Authorized OfficialStephen B HammondOwner · (917) 756-0188
Enumeration DateDecember 20, 2019
Last NPPES UpdateNovember 12, 20254 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1215575238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
8170 ROURK STREET, Myrtle Beach, SC 29572
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Other Identifiers 1

MedicaidGP9511SC

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South 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)

Polaris Skin Diagnostics, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Polaris Skin Diagnostics, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Stephen Hammond, M.D
Pathology
NPI 1851553523
8170 ROURK ST STE 100
Myrtle Beach, SC 29572
(843) 282-1915
✔ PECOS✔ Accepts MedicareSame address
Christine Lin, M.D.
Pathology
NPI 1326209776
706 GREEN VALLEY RD SUITE 104
Greensboro, NC 27408
(336) 387-2500
✔ PECOS✔ Accepts Medicare171 mi
Daniel Teague, M.D.
Pathology
NPI 1942407291
1800 S HAWTHORNE RD STE 200
Winston Salem, NC 27103
(336) 760-1388
✔ PECOS✔ Accepts Medicare181 mi
John Cangelosi, MD
Pathology
NPI 1831393438
4131 DIRECTORS ROW
Houston, TX 77092
(877) 697-2447
✔ PECOS✔ Accepts Medicare1,015 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

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 42D2179374

Polaris Skin Diagnostics · Myrtle Beach, SC
Active · expires Apr 11, 2028
CLIA Number42D2179374
Laboratory TypeIndependent
Certificate Effective DateApril 12, 2026
Certificate Expiration DateApril 11, 2028
Laboratory DirectorStephen B. Hammond
Laboratory Phone(843) 282-1915
Laboratory LocationPolaris Skin Diagnostics8170 Rourk St Suite 100, Myrtle Beach, SC 29572
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 Polaris Skin Diagnostics, LLC's NPI number?

The NPI number for Polaris Skin Diagnostics, LLC is 1215575238. It was assigned to this organization in the NPPES registry on December 20, 2019.

Where is Polaris Skin Diagnostics, LLC located?

Polaris Skin Diagnostics, LLC is located at 8170 Rourk Street Suite 100, Myrtle Beach, SC 29572. The listed phone number is (917) 756-0188.

What is Polaris Skin Diagnostics, LLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Polaris Skin Diagnostics, LLC enrolled in Medicare?

Yes. Polaris Skin Diagnostics, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Polaris Skin Diagnostics, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Pathology, reassign their Medicare billing to Polaris Skin Diagnostics, LLC. 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 Polaris Skin Diagnostics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D2179374) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Polaris Skin Diagnostics, LLC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Polaris Skin Diagnostics, LLC 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 Polaris Skin Diagnostics, LLC was last updated on November 12, 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.