HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA
NPI 1639254014
Dermatology - MOHS-Micrographic Surgery in Hilton Head, SC

Q: What is Hilton Head Dermatology And Skin Cancer Center PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Active since October 26, 2006CLIA 42D0686507 · Certificate of Compliance

15 HOSPITAL CENTER BLVD STE 1, HILTON HEAD, SC 29926(843) 689-9200(843) 689-9201 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Hilton Head Dermatology And Skin Cancer Center Pa NPPES

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

HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA (NPI 1639254014) is a healthcare organization registered as a mohs-micrographic surgery in Hilton Head, South Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 11, 2028 and lists Albert Thomas Bundy, President, as its authorized official.

NPPES Registry Identity

NPI1639254014

Entity TypeOrganization

Primary Taxonomy207ND0101X

Legal Business NameHILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA

Location Address15 HOSPITAL CENTER BLVD STE 1Hilton Head, SC 29926-2760

Mailing Address15 Hospital Center Blvd Ste 1Hilton Head, SC 29926-2760 · (843) 689-9200 · Fax (843) 689-9201

Phone(843) 689-9200

Fax(843) 689-9201

Organization SubpartNo

Authorized OfficialAlbert Thomas BundyPresident · (843) 689-9200

Enumeration DateOctober 26, 2006

Last NPPES UpdateJuly 8, 2015

✔ NPI 1639254014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207ND0101X

License✔ Licensed in SC · SC14710

Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

15 HOSPITAL CENTER BLVD STE 1, Hilton Head, SC 29926

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Other Identifiers 1

MedicaidGP1264SC

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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hilton Head Dermatology And Skin Cancer Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Hilton Head Dermatology And Skin Cancer Center PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Albert Bundy, M.D.

Dermatology

NPI 1194709378

15 HOSPITAL CENTER BLVD SUITE 1
Hilton Head, SC 29926

(843) 689-9200

✔ PECOS✔ Accepts MedicareSame address

Emily Murphy, FNP-C

Nurse Practitioner

NPI 1063894103

15 HOSPITAL CENTER BLVD STE 1
Hilton Head, SC 29926

(843) 689-9200

✔ PECOS✔ Accepts MedicareSame address

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

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 42D0686507

Hilton Head Derm And Skin Cancer Ctr · Hilton Head Island, SC

Active · expires Apr 11, 2028

CLIA Number42D0686507

Laboratory TypePhysician Office

Certificate Effective DateApril 12, 2026

Certificate Expiration DateApril 11, 2028

Laboratory DirectorAlbert T. Bundy M D

Laboratory Phone(843) 689-9200

Laboratory LocationHilton Head Derm And Skin Cancer Ctr15 Hospital Center Boulevard Suite 1, Hilton Head Island, SC 29926

CLIA data matches this NPI record on: 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 Hilton Head Dermatology And Skin Cancer Center PA's NPI number?

The NPI number for Hilton Head Dermatology And Skin Cancer Center PA is 1639254014. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Hilton Head Dermatology And Skin Cancer Center PA located?

Hilton Head Dermatology And Skin Cancer Center PA is located at 15 Hospital Center Blvd Ste 1, Hilton Head, SC 29926. The listed phone number is (843) 689-9200.

What is Hilton Head Dermatology And Skin Cancer Center PA's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Hilton Head Dermatology And Skin Cancer Center PA enrolled in Medicare?

Yes. Hilton Head Dermatology And Skin Cancer Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Hilton Head Dermatology And Skin Cancer Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Hilton Head Dermatology And Skin Cancer Center PA, in Dermatology and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Hilton Head Dermatology And Skin Cancer Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0686507) is associated with this NPI, valid through April 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hilton Head Dermatology And Skin Cancer Center PA accept?

Health plans from BlueCross BlueShield of South Carolina list Hilton Head Dermatology And Skin Cancer Center 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 Hilton Head Dermatology And Skin Cancer Center PA was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.