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

Active since October 26, 2006
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: August 16, 2026.

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 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 ›

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
Expired · Jul 31, 2026
CLIA Number42D0686507
Laboratory TypePhysician Office
Certificate Effective DateApril 12, 2024
Certificate Expiration DateJuly 31, 2026
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.

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.

EMILY MURPHY FNP-C
Nurse Practitioner (Family)
15 HOSPITAL CENTER BLVD STE 1
HILTON HEAD, SC 29926
Beaufort County (843) 689-9200
KRISTEN ANN CLARK PA-C
Physician Assistant
15 HOSPITAL CENTER BLVD STE 1
HILTON HEAD ISLAND, SC 29926
Beaufort County (843) 689-9200
MARISSA ANNE BARRETT-D'AMICO
Physician Assistant
15 HOSPITAL CENTER BLVD STE 1
HILTON HEAD ISLAND, SC 29926
Beaufort County (843) 689-9200

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.

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.