CAROLINA DERMATOLOGY CLINIC, PA
NPI 1639202294
Dermatology in Charleston, SC

Active since March 13, 2007
933 SAINT ANDREWS BLVD, CHARLESTON, SC 29407(843) 766-9868(843) 571-4925 Get Directions Write a Review

NPPES record last updated: January 18, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carolina Dermatology Clinic, Pa NPPES

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

CAROLINA DERMATOLOGY CLINIC, PA (NPI 1639202294) is a healthcare organization registered as a dermatology in Charleston, South Carolina and active in the NPI registry since March 2007. The organization lists Edward A. Kotz, Owner, as its authorized official.

NPPES Registry Identity

NPI1639202294
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameCAROLINA DERMATOLOGY CLINIC, PA
Location Address933 SAINT ANDREWS BLVDCharleston, SC 29407
Mailing Address933 Saint Andrews Blvd.Charleston, SC 29407 · (843) 766-9868 · Fax (843) 571-4925
Fax(843) 571-4925
Organization SubpartNo
Authorized OfficialEdward A. KotzOwner · (843) 766-9868
Enumeration DateMarch 13, 2007
Last NPPES UpdateJanuary 18, 2011
NPI 1639202294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in SC · 24039
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 24039 (SC)
933 SAINT ANDREWS BLVD, Charleston, SC 29407

Other Identifiers 4

Medicare UPINI24579SC
Medicaid240395SC
MedicaidGROUPGP4945SC
Medicare PINAA07608162SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Compliance 42D1037609

Carolina Dermatology · Charleston, SC
Expired · Jun 30, 2026
CLIA Number42D1037609
Laboratory TypePhysician Office
Certificate Effective DateOctober 19, 2023
Certificate Expiration DateJune 30, 2026
Laboratory DirectorDr. Edward A. Kotz III
Laboratory Phone(843) 766-9868
Laboratory LocationCarolina Dermatology933 St Andrews Blvd, Charleston, SC 29407
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 Carolina Dermatology Clinic, PA's NPI number?

The NPI number for Carolina Dermatology Clinic, PA is 1639202294. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Carolina Dermatology Clinic, PA located?

Carolina Dermatology Clinic, PA is located at 933 Saint Andrews Blvd, Charleston, SC 29407. The listed phone number is (843) 766-9868.

What is Carolina Dermatology Clinic, PA's specialty?

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

What insurance does Carolina Dermatology Clinic, PA accept?

Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Carolina Dermatology Clinic, PA 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 Carolina Dermatology Clinic, PA was last updated on January 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.