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SOUTH COAST DERMATOLOGY LLC
NPI 1215911383
Specialist in Weymouth, MA

Active since December 02, 2005CLIA 22D0998328 · Certificate of Compliance
90 LIBBEY PKWY, SUITE 200, WEYMOUTH, MA 02189(781) 335-9700(781) 335-9709 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Coast Dermatology Llc NPPES

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

SOUTH COAST DERMATOLOGY LLC (NPI 1215911383) is a healthcare organization registered as a specialist in Weymouth, Massachusetts and active in the NPI registry since December 2005. The organization holds a CLIA Certificate of Compliance certificate valid through December 25, 2027 and lists Teresa Degiacomo, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1215911383
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTH COAST DERMATOLOGY LLC
Location Address90 LIBBEY PKWY, SUITE 200Weymouth, MA 02189-3100
Mailing Address90 Libbey Pkwy, Suite 200Weymouth, MA 02189-3100 · (781) 335-9700 · Fax (781) 335-9709
Phone(781) 335-9700
Fax(781) 335-9709
Organization SubpartNo
Authorized OfficialTeresa DegiacomoMedical Doctor · (781) 335-9700
Enumeration DateDecember 2, 2005
Last NPPES UpdateFebruary 22, 2018
✔ NPI 1215911383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
90 LIBBEY PKWY, Weymouth, MA 02189
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Other Identifiers 3

Medicaid9713361MA
Other691531Tufts
OtherM17965Bc/bs

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 Anthem Blue Cross and Blue Shield.Insurance ›

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 22D0998328

South Coast Dermatology · Weymouth, MA
Active · expires Dec 25, 2027
CLIA Number22D0998328
Laboratory TypePhysician Office
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorDr. Heidi Anderson-Dockter
Laboratory Phone(781) 335-9700
Laboratory LocationSouth Coast Dermatology97 Libbey Industrial Parkway, Suite 400, Weymouth, MA 02189
CLIA data matches this NPI record on: 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 20

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

ALICIA VAN COTT NP
Nurse Practitioner (Adult Health)
90 LIBBEY PKWY, SUITE 200
WEYMOUTH, MA 02189
Norfolk County (781) 335-9700
DR. SVETA SHAH OZA M.D.
Internal Medicine (Gastroenterology)
90 LIBBEY PKWY
WEYMOUTH, MA 02189
Norfolk County (781) 331-2922
MRS. DONNA M TOCCI PA
Physician Assistant
90 LIBBEY PKWY
WEYMOUTH, MA 02189
Norfolk County (339) 201-4120
DR. TIMOTHY V. JOHNSON D.O.
Obstetrics & Gynecology
90 LIBBEY PKWY
WEYMOUTH, MA 02189
Norfolk County (339) 201-4120
ELIZABETH LOPES-COSTA NP
Nurse Practitioner (Acute Care)
90 LIBBEY PKWY
WEYMOUTH, MA 02189
Norfolk County (401) 559-1058
LARRY MARKOWITZ M.D.
Psychiatry & Neurology (Neurology)
90 LIBBEY PKWY, SUITE 102
WEYMOUTH, MA 02189
Norfolk County (781) 335-3900
MRS. TERESA DEGIACOMO M.D.
Dermatology
90 LIBBEY PKWY, SUITE 200
WEYMOUTH, MA 02189
Norfolk County (781) 335-9700
MARGOT A GEFFROY M.D.
Psychiatry & Neurology (Neurology)
90 LIBBEY PKWY, SUITE 102
WEYMOUTH, MA 02189
Norfolk County (781) 335-3900

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 Coast Dermatology LLC's NPI number?

The NPI number for South Coast Dermatology LLC is 1215911383. It was assigned to this organization in the NPPES registry on December 2, 2005.

Where is South Coast Dermatology LLC located?

South Coast Dermatology LLC is located at 90 Libbey Pkwy Suite 200, Weymouth, MA 02189. The listed phone number is (781) 335-9700.

What is South Coast Dermatology LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does South Coast Dermatology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 22D0998328) is associated with this NPI, valid through December 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Coast Dermatology LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list South Coast Dermatology 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 South Coast Dermatology LLC was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.