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CHARLESTON DERMATOLOGY, PC
NPI 1609320217
Dermatology in North Charleston, SC

Active since August 11, 2016CLIA Certified · 3 labs
5401 NETHERBY LANE, STE 1202, NORTH CHARLESTON, SC 29420(843) 872-3015(843) 872-3015 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charleston Dermatology, Pc NPPES

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

CHARLESTON DERMATOLOGY, PC (NPI 1609320217) is a healthcare organization registered as a dermatology in North Charleston, South Carolina and active in the NPI registry since August 2016. The organization holds 3 active CLIA laboratory certificates and lists Adam L. Sperduto, Physician, as its authorized official.

NPPES Registry Identity

NPI1609320217
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCHARLESTON DERMATOLOGY, PC
Location Address5401 NETHERBY LANE, STE 1202North Charleston, SC 29420
Mailing Address5401 Netherby Lane, Ste 1202North Charleston, SC 29420 · (843) 872-3015 · Fax (843) 872-3015
Phone(843) 872-3015
Fax(843) 872-3015
Organization SubpartNo
Authorized OfficialAdam L. SperdutoPhysician · (843) 872-3015
Enumeration DateAugust 11, 2016
✔ NPI 1609320217 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.
5401 NETHERBY LANE, North Charleston, SC 29420
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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 Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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)

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

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Charleston Dermatology, PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Roger Sullivan, M.D.
Dermatology
NPI 1346534484
9228 MEDICAL PLAZA DR DEPT FAMILY MEDICINE
Charleston, SC 29406
(843) 876-7080
✔ PECOS✔ Accepts Medicare4.8 mi
Mackenzie Gwynne, M.D.
Dermatology
NPI 1780079665
135 RUTLEDGE AVE FL 11
Charleston, SC 29425
(843) 792-3021
✔ PECOS✔ Accepts Medicare14 mi
Lee Yarbrough, MD
Dermatology
NPI 1851509780
570 LONG POINT RD SUITE 200
Mt Pleasant, SC 29464
(843) 881-0320
✔ PECOS✔ Accepts Medicare16 mi
Megan Hohenberger, MD
Dermatology
NPI 1013446012
908 SMITHFIELD WAY STE 101
Fort Mill, SC 29715
(803) 220-2782
✔ PECOS✔ Accepts Medicare150 mi
Adam Sperduto, M.D.
Dermatology
NPI 1740579036
2000 STONEGATE TRL STE 112
Vestavia Hls, AL 35242
(205) 977-9876
✔ PECOS✔ Accepts Medicare383 mi
Ashley Allen, MD
Internal Medicine
NPI 1699302828
1430 TULANE AVE # 8050
New Orleans, LA 70112
(504) 988-7809
✔ PECOS✔ Accepts Medicare622 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 3

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 42D2119299

Charleston Dermatology · North Charleston, SC
Active · expires Oct 22, 2027
CLIA Number42D2119299
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDr. Adam Sperduto
Laboratory Phone(843) 872-3015
Laboratory LocationCharleston Dermatology5401 Netherby Lane,, Suite 1202, North Charleston, SC 29420
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.

Certificate of Compliance 42D2155478

Charleston Dermatology · Charleston, SC
Active · expires Jan 27, 2028
CLIA Number42D2155478
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorDr. Adam L. Sperduto
Laboratory Phone(843) 872-3015
Laboratory LocationCharleston Dermatology2291 Henry Tecklenburg Drive, Charleston, SC 29414
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.

Certificate of Compliance 42D2164540

Charleston Dermatology, PC · Mount Pleasant, SC
Active · expires Jan 27, 2028
CLIA Number42D2164540
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorAdam L. Sperduto
Laboratory Phone(843) 872-3015
Laboratory LocationCharleston Dermatology, PC1090 Park West Blvd Suite 101 And 104, Mount Pleasant, SC 29466
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.

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 Charleston Dermatology, PC's NPI number?

The NPI number for Charleston Dermatology, PC is 1609320217. It was assigned to this organization in the NPPES registry on August 11, 2016.

Where is Charleston Dermatology, PC located?

Charleston Dermatology, PC is located at 5401 Netherby Lane Ste 1202, North Charleston, SC 29420. The listed phone number is (843) 872-3015.

What is Charleston Dermatology, PC's specialty?

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

Is Charleston Dermatology, PC enrolled in Medicare?

Yes. Charleston Dermatology, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charleston Dermatology, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Charleston Dermatology, PC. 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. The largest specialties are Dermatology (5) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Charleston Dermatology, PC hold CLIA laboratory certificates?

Yes. 3 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 Charleston Dermatology, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Charleston Dermatology, PC 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 Charleston Dermatology, PC was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.