GERMAIN DERMATOLOGY, PA
NPI 1417089376
Dermatology in Mount Pleasant, SC

Q: What is Germain Dermatology, PA's NPI number?

The NPI number for Germain Dermatology, PA is 1417089376. It was assigned to this organization in the NPPES registry on March 9, 2007.

Q: What is Germain Dermatology, PA's specialty?

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

Active since March 09, 2007

612 SEACOAST PKWY, SUITE 201, MOUNT PLEASANT, SC 29464(843) 881-4440(843) 884-8540 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Germain Dermatology, Pa NPPES

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

GERMAIN DERMATOLOGY, PA (NPI 1417089376) is a healthcare organization registered as a dermatology in Mount Pleasant, South Carolina and active in the NPI registry since March 2007. The organization lists Nelda Fields, Consultant, as its authorized official.

NPPES Registry Identity

NPI1417089376

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameGERMAIN DERMATOLOGY, PA

Location Address612 SEACOAST PKWY, SUITE 201Mount Pleasant, SC 29464-8247

Mailing Address612 Seacoast Pkwy, Suite 201Mount Pleasant, SC 29464-8247 · (843) 881-4440 · Fax (843) 884-8540

Phone(843) 881-4440

Fax(843) 884-8540

Organization SubpartNo

Authorized OfficialNelda FieldsConsultant · (843) 881-4440

Enumeration DateMarch 9, 2007

Last NPPES UpdateOctober 21, 2009

✔ NPI 1417089376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in SC · 22169

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 · License 22169 (SC)

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 22169 (SC)

Also ListedPhysician AssistantTaxonomy 363A00000X · License 1048 (SC)

612 SEACOAST PKWY, Mount Pleasant, SC 29464

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Other Identifiers 5

Other1417048638SC · Npi Of Pa

Other1750308219SC · Npi Of Md

Other1740514223SC · Npi Of Pa

Medicare UPING24206SC

Medicare PIN7532SC

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 42D2240128

Germain Dermatology · Summerville, SC

Expired · Jul 31, 2026

CLIA Number42D2240128

Laboratory TypePhysician Office

Certificate Effective DateJuly 17, 2024

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorTaylor B. Mulkey

Laboratory Phone(843) 881-4440

Laboratory LocationGermain Dermatology602 North Main Street, Summerville, SC 29483

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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Other Providers at the Same Location NPPES 10

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

RYAN TROUT PA-C

Physician Assistant (Medical)

612 SEACOAST PKWY
MOUNT PLEASANT, SC 29464

Charleston County (843) 881-4440

FOREFRONT DERMATOLOGY, S.C.

Dermatology