ANSLEY DEVORE SULLIVAN MD
NPI 1326724014
Dermatology in Charleston, SC

Active since June 26, 2023PECOS Enrolled
169 ASHLEY AVE RM 202MUH, CHARLESTON, SC 29425(843) 792-7365 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Sep 3, 2024, Jul 30, 2024 (3 updates tracked since 2024).

About Ansley Devore Sullivan Md NPPES

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

ANSLEY DEVORE SULLIVAN MD (NPI 1326724014) is an individual dermatology provider in Charleston, South Carolina, licensed in South Carolina (93053) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326724014
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameANSLEY DEVORE SULLIVANCredential: MD
Location Address169 ASHLEY AVE RM 202MUHCharleston, SC 29425-1518
Mailing Address169 Ashley Ave Rm 202muhCharleston, SC 29425-8905
Sole ProprietorNo
Enumeration DateJune 26, 2023
Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
NPI 1326724014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in SC · 93053
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 93053 (SC), LL90304 (SC)
169 ASHLEY AVE RM 202MUH, Charleston, SC 29425

Other Names 1

Former Name (1)Ansley Devore Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ansley Devore Sullivan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Pediatrics (Pediatric Hematology-Oncology)
169 ASHLEY AVE RM 202MUH
CHARLESTON, SC 29425
Internal Medicine
169 ASHLEY AVE RM 202MUH
CHARLESTON, SC 29425

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 Ansley Sullivan's NPI number?

The NPI number for Ansley Sullivan is 1326724014. It was assigned to this individual provider in the NPPES registry on June 26, 2023. The provider is also known as Ansley Devore MD.

Where is Ansley Sullivan located?

Ansley Sullivan practices at 169 Ashley Ave Rm 202muh, Charleston, SC 29425. The listed phone number is (843) 792-7365.

What is Ansley Sullivan's specialty?

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

Is Ansley Sullivan enrolled in Medicare?

Yes. Ansley Sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ansley Sullivan was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.