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DEVORE DERMATOLOGY PA
NPI 1689708257
Specialist in Spartanburg, SC

Active since March 15, 2007
490 FLOYD RD, SPARTANBURG, SC 29307(864) 596-7546(864) 596-7549 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Devore Dermatology Pa NPPES

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

DEVORE DERMATOLOGY PA (NPI 1689708257) is a healthcare organization registered as a specialist in Spartanburg, South Carolina and active in the NPI registry since March 2007. The organization lists Karen A Devore, Owner, as its authorized official.

NPPES Registry Identity

NPI1689708257
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDEVORE DERMATOLOGY PA
Location Address490 FLOYD RDSpartanburg, SC 29307-1518
Mailing Address490 Floyd RdSpartanburg, SC 29307-1518 · (864) 596-7546
Phone(864) 596-7546
Fax(864) 596-7549
Organization SubpartNo
Authorized OfficialKaren A DevoreOwner · (864) 596-7546
Enumeration DateMarch 15, 2007
Last NPPES UpdateDecember 18, 2014
✔ NPI 1689708257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 15854
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
490 FLOYD RD, Spartanburg, SC 29307
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN7185SC

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devore Dermatology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Devore Dermatology PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Karen Devore, MD
Dermatology
NPI 1821098823
490 FLOYD RD
Spartanburg, SC 29307
(864) 596-7546
✔ 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 42D0993012

Devore Dermatology PA · Spartanburg, SC
Expired · Sep 30, 2026
CLIA Number42D0993012
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorKaren A. Devore MD
Laboratory Phone(864) 596-7546
Laboratory LocationDevore Dermatology PA490 Floyd Road, Spartanburg, SC 29307
CLIA data matches this NPI record on: Address 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 Devore Dermatology PA's NPI number?

The NPI number for Devore Dermatology PA is 1689708257. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Devore Dermatology PA located?

Devore Dermatology PA is located at 490 Floyd Rd, Spartanburg, SC 29307. The listed phone number is (864) 596-7546.

What is Devore Dermatology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Devore Dermatology PA enrolled in Medicare?

Yes. Devore Dermatology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Devore Dermatology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Devore Dermatology PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Devore Dermatology PA was last updated on December 18, 2014. 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.