CMC DERMATOLOGY
NPI 1366191702
Dermatology in Conway, SC
About Cmc Dermatology NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CMC DERMATOLOGY (NPI 1366191702) is a healthcare organization registered as a dermatology in Conway, South Carolina and active in the NPI registry since March 2022. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Myrtle Beach, and lists Mary Ellen Artioli, Credentialing Specialist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 2
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted 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)
Cmc Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
142Medicare enrollment records show 142 clinicians reassign Medicare billing to Cmc Dermatology, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 120 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 142Source: 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 2
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 42D2309432
Cmc Dermatology And Primary Care Grande Dunes · Myrtle Beach, SCCertificate of Waiver 42D2226767
Cmc Rheumatology · Conway, SCFrequently 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 Conway Hospital, Inc.'s NPI number?
The NPI number for Conway Hospital, Inc. is 1366191702. It was assigned to this organization in the NPPES registry on March 22, 2022. The provider is doing business as Cmc Dermatology and CMC Dermatology Grande Dunes.
Where is Conway Hospital, Inc. located?
Conway Hospital, Inc. is located at 808 Farrar Drive, Conway, SC 29526. The listed phone number is (843) 234-8700.
What is Conway Hospital, Inc.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Conway Hospital, Inc. enrolled in Medicare?
Yes. Conway Hospital, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Conway Hospital, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 142 clinicians in 26 Medicare specialties reassign their Medicare billing to Conway Hospital, Inc.. 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 Nurse Practitioner (32), Family Practice (20) and Pediatric Medicine (10). Of these, 3 practice at this address and 120 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Conway Hospital, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Conway Hospital, Inc. accept?
Health plans from BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Conway Hospital, Inc. 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 Conway Hospital, Inc. was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cmc Dermatology · NPI 1366191702
Dermatology organization in Conway, South Carolina. Organization record, active in the CMS NPPES registry since March 22, 2022.
## Identity
- **NPI:** 1366191702 (Entity type: Organization)
- **Enumerated:** March 22, 2022
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Conway Hospital, Inc.
- **Also known as:** CMC Dermatology Grande Dunes (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mary Ellen Artioli, CREDENTIALING SPECIALIST
## Practice location
- **Address:** 808 FARRAR DRIVE, Conway, SC 29526-8747
- **Phone:** (843) 234-8700 · **Fax:** (843) 234-8689
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 142 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Family Practice (20), Pediatric Medicine (10); 3 practice at this address and 120 within 10 miles; [full list](https://npiprofile.com/npi/1366191702/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2024
- **Other identifiers:** Medicaid PG0932 (SC)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366191702) · Data from the CMS NPPES public registry.