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GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
NPI 1427614577
Dermatology in Aiken, SC

Active since May 14, 2019CLIA 42D0960681 · Certificate of Compliance
2110 WOODSIDE EXECUTIVE COURT, AIKEN, SC 29803(803) 644-8900(803) 644-8995 Get Directions Write a Review

NPPES record last updated: May 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgia Dermatology & Skin Cancer Center, Llc NPPES

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

GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC (NPI 1427614577) is a healthcare organization registered as a dermatology in Aiken, South Carolina and active in the NPI registry since May 2019. The organization holds a CLIA Certificate of Compliance certificate valid through July 2, 2027 and lists Michael J Sharkey, President, as its authorized official.

NPPES Registry Identity

NPI1427614577
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
Location Address2110 WOODSIDE EXECUTIVE COURTAiken, SC 29803-3809
Mailing Address2400 Bellevue Rd Ste #21-aDublin, GA 31021-2890 · (478) 328-0281 · Fax (478) 328-0438
Phone(803) 644-8900
Fax(803) 644-8995
Organization SubpartNo
Authorized OfficialMichael J SharkeyPresident · (478) 275-7202
Enumeration DateMay 14, 2019
✔ NPI 1427614577 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.
2110 WOODSIDE EXECUTIVE COURT, Aiken, SC 29803
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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 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 42D0960681

Georgia Dermatology & Skin Cancer Center LLC · Aiken, SC
Active · expires Jul 2, 2027
CLIA Number42D0960681
Laboratory TypePhysician Office
Certificate Effective DateJuly 3, 2025
Certificate Expiration DateJuly 2, 2027
Laboratory DirectorDrazen Jukic
Laboratory Phone(803) 644-8900
Laboratory LocationGeorgia Dermatology & Skin Cancer Center LLC2110 Woodside Executive Ct, Aiken, SC 29803
CLIA data matches this NPI record on: Address 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.

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 Georgia Dermatology & Skin Cancer Center, LLC's NPI number?

The NPI number for Georgia Dermatology & Skin Cancer Center, LLC is 1427614577. It was assigned to this organization in the NPPES registry on May 14, 2019.

Where is Georgia Dermatology & Skin Cancer Center, LLC located?

Georgia Dermatology & Skin Cancer Center, LLC is located at 2110 Woodside Executive Court, Aiken, SC 29803. The listed phone number is (803) 644-8900.

What is Georgia Dermatology & Skin Cancer Center, LLC's specialty?

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

Does Georgia Dermatology & Skin Cancer Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0960681) is associated with this NPI, valid through July 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgia Dermatology & Skin Cancer Center, LLC accept?

Health plans from BlueCross BlueShield of South Carolina list Georgia Dermatology & Skin Cancer Center, 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 Georgia Dermatology & Skin Cancer Center, LLC was last updated on May 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.