ROCK HILL DERMATOLOGY CENTER
NPI 1447420070
Dermatology in Rock Hill, SC

Active since March 11, 2008CLIA 42D0253543 · Microscopy
1533 EBENEZER RD, ROCK HILL, SC 29732(803) 328-1831(803) 328-0283 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rock Hill Dermatology Center NPPES

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

ROCK HILL DERMATOLOGY CENTER (NPI 1447420070) is a healthcare organization registered as a dermatology in Rock Hill, South Carolina and active in the NPI registry since March 2008. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Oz Idlibi, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447420070
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROCK HILL DERMATOLOGY CENTER
Location Address1533 EBENEZER RDRock Hill, SC 29732-1806
Mailing Address1533 Ebenezer RdRock Hill, SC 29732-1806 · (803) 328-1831 · Fax (803) 324-5131
Fax(803) 328-0283
Organization SubpartNo
Authorized OfficialOz IdlibiAdministrator · (803) 393-3710
Enumeration DateMarch 11, 2008
Last NPPES UpdateNovember 14, 2022
NPPES CertifiedNovember 14, 2022
NPI 1447420070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 ListedSpecialistTaxonomy 174400000X · License 06954 (SC)
1533 EBENEZER RD, Rock Hill, SC 29732

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

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 for Provider-Performed Microscopy Procedures (PPMP) 42D0253543

Rock Hill Dermatology · Rock Hill, SC
Active · expires Aug 31, 2026
CLIA Number42D0253543
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorEugene M. Lepine
Laboratory Phone(803) 328-1831
Laboratory LocationRock Hill Dermatology1533 Ebenezer Road PO Box 2938, Rock Hill, SC 29732
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

Dermatology
1533 EBENEZER RD
ROCK HILL, SC 29732
Physician Assistant
1533 EBENEZER RD
ROCK HILL, SC 29732
Physician Assistant (Medical)
1533 EBENEZER RD
ROCK HILL, SC 29732

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 Rock Hill Dermatology Center's NPI number?

The NPI number for Rock Hill Dermatology Center is 1447420070. It was assigned to this organization in the NPPES registry on March 11, 2008.

Where is Rock Hill Dermatology Center located?

Rock Hill Dermatology Center is located at 1533 Ebenezer Rd, Rock Hill, SC 29732. The listed phone number is (803) 328-1831.

What is Rock Hill Dermatology Center's specialty?

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

Does Rock Hill Dermatology Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D0253543) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rock Hill Dermatology Center accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Molina Healthcare list Rock Hill Dermatology Center 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 Rock Hill Dermatology Center was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.