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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: August 16, 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 ›

Other Providers at the Same Location NPPES

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

WESTSIDE DERMATOLOGY, LLC
Dermatology
1410B JOHN B WHITE SR BLVD
SPARTANBURG, SC 29306
Spartanburg County (864) 574-0017

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.

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.