1. Home
  2. Directory
  3. South Carolina
  4. Columbia
  5. Dermatology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

COLUMBIA DERMATOLOGY LLC
NPI 1417349747
Dermatology in Columbia, SC

Active since February 24, 2015CLIA Certified · 2 labs
7329 NURSERY RD, COLUMBIA, SC 29212(304) 894-4582(803) 731-0297 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Columbia Dermatology Llc NPPES

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

COLUMBIA DERMATOLOGY LLC (NPI 1417349747) is a healthcare organization registered as a dermatology in Columbia, South Carolina and active in the NPI registry since February 2015. The organization holds 2 active CLIA laboratory certificates and lists Jessica Rae Burgy, Physician, as its authorized official.

NPPES Registry Identity

NPI1417349747
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCOLUMBIA DERMATOLOGY LLC
Location Address7329 NURSERY RDColumbia, SC 29212-1009
Mailing Address7329 Nursery RdColumbia, SC 29212-1009 · (304) 894-4582 · Fax (803) 731-0297
Phone(304) 894-4582
Fax(803) 731-0297
Organization SubpartNo
Authorized OfficialJessica Rae BurgyPhysician · (304) 894-4582
Enumeration DateFebruary 24, 2015
Last NPPES UpdateOctober 1, 2026
NPPES CertifiedOctober 1, 2026
✔ NPI 1417349747 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.
7329 NURSERY RD, Columbia, SC 29212
Open in Google Maps ↗

Accepted Insurance

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

Columbia Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Columbia Dermatology LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Jessica Burgy, MD
Dermatology
NPI 1275826521
7329 NURSERY RD
Columbia, SC 29212
(803) 731-9600
✔ PECOS✔ Accepts MedicareSame address
Cody Connor, M.D.
Dermatology
NPI 1447631619
7329 NURSERY RD
Columbia, SC 29212
(803) 731-9600
✔ PECOS✔ Accepts MedicareSame address
Coty Campbell, N.P.
Nurse Practitioner
NPI 1265579106
1600 LAKE MURRAY BLVD
Columbia, SC 29212
(803) 731-9600
✔ PECOS✔ Accepts Medicare0.2 mi

Source: 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 Waiver 42D2345424

Columbia Dermatology & Aesthetics · Columbia, SC
Active · expires Jun 9, 2028
CLIA Number42D2345424
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorJessica R. Burgy
Laboratory Phone(803) 731-9600
Laboratory LocationColumbia Dermatology & Aesthetics7329 Nursery Road, Columbia, SC 29212
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D0249678

Columbia Dermatology · Columbia, SC
Active · expires Jul 15, 2028
CLIA Number42D0249678
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorDr. Jessica R. Burgy
Laboratory Phone(803) 731-9600
Laboratory LocationColumbia Dermatology1600 Lake Murray Blvd, Columbia, SC 29212
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Columbia Dermatology LLC's NPI number?

The NPI number for Columbia Dermatology LLC is 1417349747. It was assigned to this organization in the NPPES registry on February 24, 2015.

Where is Columbia Dermatology LLC located?

Columbia Dermatology LLC is located at 7329 Nursery Rd, Columbia, SC 29212. The listed phone number is (304) 894-4582.

What is Columbia Dermatology LLC's specialty?

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

Is Columbia Dermatology LLC enrolled in Medicare?

Yes. Columbia Dermatology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Columbia Dermatology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Columbia Dermatology LLC, in Dermatology and Nurse Practitioner. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Columbia Dermatology LLC 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 Columbia Dermatology LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Columbia Dermatology LLC 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 Columbia Dermatology LLC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.