HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA
NPI 1639254014
Dermatology - MOHS-Micrographic Surgery in Hilton Head, SC
NPI Status: Active since October 26, 2006
Contact Information
15 HOSPITAL CENTER BLVD STE 1
HILTON HEAD, SC
ZIP 29926
Phone: (843) 689-9200
Fax: (843) 689-9201
- Organization
- Dermatology
- MOHS-Micrographic Surgery
- Accepts Insurance
- CLIA Number: 42D0686507
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-11-2026
About HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA
This page provides the complete NPI Profile along with additional information for Hilton Head Dermatology And Skin Cancer Center Pa, a provider established in Hilton Head, South Carolina operating as a Dermatology, focusing in mohs-micrographic surgery . The healthcare provider is registered in the NPI registry with number 1639254014 assigned on October 2006. The practitioner's primary taxonomy code is 207ND0101X with license number SC14710 (SC). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Albert Thomas Bundy M.d. (President)
- NPI
- 1639254014
- Provider Name
- HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA
- Entity Type
- Organization
- Location Address
- 15 HOSPITAL CENTER BLVD STE 1 HILTON HEAD, SC 29926
- Location Phone
- (843) 689-9200
- Location Fax
- (843) 689-9201
- Mailing Address
- 15 HOSPITAL CENTER BLVD STE 1 HILTON HEAD, SC 29926
- Mailing Phone
- (843) 689-9200
- Mailing Fax
- (843) 689-9201
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-26-2006
- Last Update Date
- 07-08-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dermatology MOHS-Micrographic Surgery
- Taxonomy Code
- 207ND0101X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- SC14710
- License State
- SC
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue VirtuConnect Bronze 1 - EPO
- Blue VirtuConnect Gold 1 - EPO
- Blue VirtuConnect Silver 1 - EPO
- BlueEssentials Bronze 4 - EPO
- BlueEssentials Bronze 6 - EPO
- BlueEssentials Catastrophic 1 - EPO
- BlueEssentials Gold 1 - EPO
- BlueEssentials Gold 5 - EPO
- BlueEssentials Silver 14 - EPO
- BlueEssentials Silver 14 + Adult Vision - EPO
- BlueEssentials Silver 39 - EPO
- BlueEssentials Standard Expanded Bronze - EPO
- BlueEssentials Standard Gold - EPO
- BlueEssentials Standard Silver - EPO
- BlueExtend PPO HD Bronze 1 - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP1264 | MEDICAID (05) | SC |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 42D0686507
- Facility Type
- Physician Office
- Certificate Effective Date
- April 12, 2024
- Certificate Expiration Date
- April 11, 2026
- Laboratory Director
- ALBERT T. BUNDY M D
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Hilton Head Dermatology And Skin Cancer Center Pa after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
Reviews for HILTON HEAD DERMATOLOGY AND SKIN CANCER CENTER PA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 2 | 5 | 4 | 0 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 4 | 5 | 8 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 4 + 5 + 8 + 0 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1639254014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
EMILY MURPHY FNP-C
Nurse Practitioner
(Family)
15 HOSPITAL CENTER BLVD STE 1
HILTON HEAD, SC
ZIP 29926
KRISTEN ANN CLARK PA-C
Physician Assistant
15 HOSPITAL CENTER BLVD STE 1
HILTON HEAD ISLAND, SC
ZIP 29926
MARISSA ANNE BARRETT-D'AMICO
Physician Assistant
15 HOSPITAL CENTER BLVD STE 1
HILTON HEAD ISLAND, SC
ZIP 29926
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639254014, enumerated as an "organization" on October 26, 2006.
The provider is located at 15 HOSPITAL CENTER BLVD STE 1 HILTON HEAD, SC 29926 and the phone number is (843) 689-9200.
Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.
The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, Medicare. Please consult your insurance carrier or call the provider to verify.
