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

Active since March 11, 2008
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: November 01, 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 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rock Hill Dermatology Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rock Hill Dermatology Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1508864927
1533 EBENEZER RD
Rock Hill, SC 29732
(803) 328-1831
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Rock Hill Dermatology Center enrolled in Medicare?

Yes. Rock Hill Dermatology Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rock Hill Dermatology Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Rock Hill Dermatology Center. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.