ANDERSON SKIN AND CANCER CLINIC PA
NPI 1639398480
Dermatology - Dermatopathology in Anderson, SC
NPI Status: Active since April 24, 2007
Contact Information
2022 CARDINAL CIR
ANDERSON, SC
ZIP 29621
Phone: (864) 224-7577
Fax: (864) 225-5165
- Organization
- Dermatology
- Dermatopathology
- Accepts Insurance
- CLIA Number: 42D2330952
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-23-2027
About ANDERSON SKIN AND CANCER CLINIC PA
This page provides the complete NPI Profile along with additional information for Anderson Skin And Cancer Clinic Pa, a provider established in Anderson, South Carolina operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1639398480 assigned on April 2007. The practitioner's primary taxonomy code is 207ND0900X with license number 16908 (SC). The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's
- NPI
- 1639398480
- Provider Legal Name
- ANDERSON SKIN AND CANCER CLINIC PA
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 2022 CARDINAL CIR ANDERSON, SC 29621
- Location Phone
- (864) 224-7577
- Location Fax
- (864) 225-5165
- Mailing Address
- 2022 CARDINAL CIR ANDERSON, SC 29621
- Mailing Phone
- (864) 224-7577
- Mailing Fax
- (864) 225-5165
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-24-2007
- Last Update Date
- 09-30-2025
- Code Navigator
Location Map
Secondary Locations
- 200 Carwellyn Rd
Abbeville, SC 29620
(864) 224-7577 - 106 Municipal Dr
Seneca, SC 29672
(864) 224-7577
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 Dermatopathology
- Taxonomy Code
- 207ND0900X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 16908
- License State
- SC
- Taxonomy Description
- A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
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:
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Standard Expanded Bronze - HMO
- Standard Gold - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
- Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
- Blue Direction Bronze 1 - POS
- Blue Direction Silver 1 - POS
- Blue Direction Silver 1 + Adult Vision - POS
- Blue Direction Silver 2 - POS
- Blue Direction Standard Expanded Bronze - POS
- Blue Direction Standard Gold - POS
- Blue Direction Standard Silver - POS
- Blue Reedy Bronze 1 - HMO
- Blue Reedy Bronze 2 - HMO
- Blue Reedy Gold 1 - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Gold Value - HMO
- Molina Gold Value Plus with Adult Dental and Vision - HMO
- Molina Gold Value Plus with Adult Vision - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
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 |
|---|---|---|---|
| 2961 | MEDICAID (05) | SC | |
| 2329 | OTHER (01) | SC | MEDICARE ID |
| 3937PA | MEDICAID (05) | SC | |
| NP2759 | MEDICAID (05) | SC | |
| SC98802329 | OTHER (01) | SC | MC PTAN |
| TL7847 | MEDICAID (05) | SC | |
| 404271 | MEDICAID (05) | SC | |
| AA5766 | OTHER (01) | SC | MC UPIN |
| PA4496 | 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
- 42D2330952
- Facility Type
- Physician Office
- Certificate Effective Date
- September 24, 2025
- Certificate Expiration Date
- September 23, 2027
- Laboratory Director
- DR. MARK J. QUARTERMAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Anderson Skin And Cancer Clinic Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1639398480, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 80. The final step is to find the difference between that total and the next multiple of ten (80 - 80 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 80 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639398480, enumerated as an "organization" on April 24, 2007.
The provider is located at 2022 CARDINAL CIR ANDERSON, SC 29621 and the phone number is (864) 224-7577.
Dermatology with taxonomy code 207ND0900X and a focus in Dermatopathology.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.
