CMC DERMATOLOGY
NPI 1366191702
Dermatology in Conway, SC

Active since March 22, 2022CLIA 42D2226767 · Waiver
808 FARRAR DRIVE, CONWAY, SC 29526(843) 234-8700(843) 234-8689 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2024, Aug 12, 2022 (2 updates tracked since 2022).

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 a CLIA Waiver certificate valid through June 2, 2027, maintains a secondary practice location in Myrtle Beach, and lists Mary Ellen Artioli, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1366191702
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCONWAY HOSPITAL, INC.
Location Address808 FARRAR DRIVEConway, SC 29526-8747
Mailing Address300 Singleton Ridge Rd, Attn Pns CredentialingConway, SC 29526-9142 · (843) 234-6946
Fax(843) 234-8689
Organization SubpartNo
Authorized OfficialMary Ellen ArtioliCredentialing Specialist · (843) 234-6946
Enumeration DateMarch 22, 2022
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
NPI 1366191702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
808 FARRAR DRIVE, Conway, SC 29526

Other Names 2

Doing Business AsCmc Dermatology
Doing Business AsCmc Dermatology Grande Dunes

Secondary Practice Location 1

Location 11100 62nd Ave N, Ste BMyrtle Beach, SC 29572-7202 · Phone (843) 234-8700 · Fax (843) 234-8689

Other Identifiers 1

MedicaidPG0932SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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 Waiver 42D2226767

Cmc Rheumatology · Conway, SC
Active · expires Jun 2, 2027
CLIA Number42D2226767
Laboratory TypePhysician Office
Certificate Effective DateJune 3, 2025
Certificate Expiration DateJune 2, 2027
Laboratory DirectorAnjali Nidhaan
Laboratory Phone(843) 347-7115
Laboratory LocationCmc Rheumatology300 Singleton Ridge Road, Conway, SC 29526
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 42D2309432

Cmc Dermatology And Primary Care Grande Dunes · Myrtle Beach, SC
Expired · Aug 13, 2026
CLIA Number42D2309432
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorYumeng Li
Laboratory Phone(843) 839-0957
Laboratory LocationCmc Dermatology And Primary Care Grande Dunes1100 62nd Avenue North, Suite B, Myrtle Beach, SC 29572
CLIA data matches this NPI record on: Address Name
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

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

Physician Assistant (Medical)
808 FARRAR DRIVE
CONWAY, SC 29526

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 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.

Does Conway Hospital, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2226767) is associated with this NPI, valid through June 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Conway Hospital, Inc. accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, 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.