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ADVANCED DERMATOLOGY OF SC PC
NPI 1255754008
Dermatology in Spartanburg, SC

Active since January 30, 2014
1410B JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306(864) 874-0017(864) 574-6088 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Dermatology Of Sc Pc NPPES

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

ADVANCED DERMATOLOGY OF SC PC (NPI 1255754008) is a healthcare organization registered as a dermatology in Spartanburg, South Carolina and active in the NPI registry since January 2014. The organization lists Matt Leavitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1255754008
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY OF SC PC
Location Address1410B JOHN B WHITE SR BLVDSpartanburg, SC 29306-3927
Mailing Address151 Southhall Ln, Suite 300Maitland, FL 32751-7176 · (407) 875-2080 · Fax (407) 650-3455
Phone(864) 874-0017
Fax(864) 574-6088
Organization SubpartNo
Authorized OfficialMatt LeavittOwner · (407) 875-2080
Enumeration DateJanuary 30, 2014
✔ NPI 1255754008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
1410B JOHN B WHITE SR BLVD, Spartanburg, SC 29306
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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)

Advanced Dermatology Of Sc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Advanced Dermatology Of Sc PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Dermatology18
Nurse Practitioner4
Family Practice1
Micrographic Dermatologic Surgery (MDS)1

Nearest to this location (20)

See all 24
Amylynne Frankel, M.D.
Dermatology
NPI 1437318607
1650 SKYLYN DR STE 402
Spartanburg, SC 29307
(864) 574-0017
✔ PECOS✔ Accepts Medicare6.0 mi
Heather Oliver, APRN
Nurse Practitioner
NPI 1073932646
5895 REIDVILLE RD
Moore, SC 29369
(864) 486-6990
✔ PECOS✔ Accepts Medicare8.0 mi
Eric Baker, M.D., P.A.
Dermatology
NPI 1760576383
26 ROPER CORNERS CIRCLE
Greenville, SC 29615
(864) 234-7744
22 mi
Julie Jefferson, M.D.
Dermatology
NPI 1881915791
26 ROPER CORNERS CIR
Greenville, SC 29615
(864) 234-7744
✔ PECOS✔ Accepts Medicare22 mi
Matthew Miller, MD
Dermatology
NPI 1679528756
369 WOODRUFF RD
Greenville, SC 29607
(864) 242-5872
✔ PECOS✔ Accepts Medicare24 mi
Leslie Poinsette, MD
Dermatology
NPI 1255388310
701 GROVE RD
Greenville, SC 29605
(864) 455-5648
✔ PECOS✔ Accepts Medicare28 mi
Peter Neidenbach, MD
Dermatology
NPI 1316905631
52 HOSPITAL DR STE 3A
Columbus, NC 28722
(828) 894-2473
✔ PECOS✔ Accepts Medicare29 mi
Larry Napolitano
Dermatology
NPI 1487049656
105 DELTA PARK DR
Shelby, NC 28150
(704) 484-0464
✔ PECOS✔ Accepts Medicare36 mi
Nancy Richmond, APRN
Nurse Practitioner
NPI 1770903098
1501 N MAIN ST
Anderson, SC 29621
(864) 716-0063
✔ PECOS✔ Accepts Medicare49 mi
Julie Iannini, MD
Dermatology
NPI 1184663692
1700 FIRST BAXTER XING STE 101
Fort Mill, SC 29708
(803) 802-3376
✔ PECOS✔ Accepts Medicare55 mi
Rebecca Smith, MD
Dermatology
NPI 1366412033
1700 FIRST BAXTER XING STE 101
Fort Mill, SC 29708
(803) 802-3376
✔ PECOS✔ Accepts Medicare55 mi
Megan Hohenberger, MD
Dermatology
NPI 1013446012
908 SMITHFIELD WAY STE 101
Fort Mill, SC 29715
(803) 220-2782
✔ PECOS✔ Accepts Medicare56 mi
Euphemia Mu, M.D.
Dermatology
NPI 1245500545
8936 BLAKENEY PROFESSIONAL DR
Charlotte, NC 28277
(704) 943-3714
✔ PECOS✔ Accepts Medicare64 mi
Jeffrey Smith, M.D.
Micrographic Dermatologic Surgery (MDS)
NPI 1821119660
3574 SUNSET BLVD
West Columbia, SC 29169
(803) 796-2500
✔ PECOS✔ Accepts Medicare76 mi
Katherine Thompson, M.D.
Dermatology
NPI 1477521136
3574 SUNSET BLVD
West Columbia, SC 29169
(803) 796-2500
✔ PECOS✔ Accepts Medicare76 mi
Spencer Hawkins, M.D.
Dermatology
NPI 1831621721
2550 WINDY HILL RD SE STE 200
Marietta, GA 30067
(877) 231-3376
✔ PECOS✔ Accepts Medicare161 mi
Jefferson Hunt, D.O.
Dermatology
NPI 1083843221
6600 VAN AALST BLVD
Columbus, GA 31905
(762) 408-3305
✔ PECOS✔ Accepts Medicare240 mi
Christine Bruner, M.D.
Family Practice
NPI 1447207576
151 SOUTHHALL LN STE 300
Maitland, FL 32751
(407) 875-2080
✔ PECOS433 mi
Monica Langston, CRNP
Nurse Practitioner
NPI 1902279664
100 EISENHOWER DR STE 360
Hanover, PA 17331
(717) 646-4201
✔ PECOS✔ Accepts Medicare435 mi
Lolanda Mcbride, NP
Nurse Practitioner
NPI 1225222193
2250 BRIGHTON HENRIETTA TOWN LINE RD
Rochester, NY 14623
(585) 424-6770
✔ PECOS✔ Accepts Medicare611 mi
See all 24 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Dermatology Of Sc PC's NPI number?

The NPI number for Advanced Dermatology Of Sc PC is 1255754008. It was assigned to this organization in the NPPES registry on January 30, 2014.

Where is Advanced Dermatology Of Sc PC located?

Advanced Dermatology Of Sc PC is located at 1410B John B White Sr Blvd, Spartanburg, SC 29306. The listed phone number is (864) 874-0017.

What is Advanced Dermatology Of Sc PC's specialty?

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

Is Advanced Dermatology Of Sc PC enrolled in Medicare?

Yes. Advanced Dermatology Of Sc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology Of Sc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 4 Medicare specialties reassign their Medicare billing to Advanced Dermatology Of Sc PC. 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. The largest specialties are Dermatology (18), Nurse Practitioner (4) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Dermatology Of Sc PC 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 Advanced Dermatology Of Sc PC 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 Advanced Dermatology Of Sc PC was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.