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ATLANTIC DERMATOLOGY
NPI 1730596685
Dermatology - Procedural Dermatology in Longs, SC

Active since July 11, 2014CLIA 42D2083215 · Microscopy
2237 HIGHWAY 9 E, LONGS, SC 29568(843) 399-9965(843) 399-9974 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Atlantic Dermatology NPPES

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

ATLANTIC DERMATOLOGY (NPI 1730596685) is a healthcare organization registered as a procedural dermatology in Longs, South Carolina and active in the NPI registry since July 2014. The organization holds a CLIA Microscopy certificate valid through August 28, 2026 and lists Kenneth Ray Warrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1730596685
Entity TypeOrganization
Primary Taxonomy207NS0135X
Legal Business NameATLANTIC DERMATOLOGY
Location Address2237 HIGHWAY 9 ELongs, SC 29568-5701
Mailing Address2237 Highway 9 ELongs, SC 29568-5701 · (843) 399-9965 · Fax (843) 399-9974
Phone(843) 399-9965
Fax(843) 399-9974
Organization SubpartNo
Authorized OfficialKenneth Ray WarrickOwner · (843) 399-9965
Enumeration DateJuly 11, 2014
Last NPPES UpdateAugust 18, 2022
NPPES CertifiedAugust 18, 2022
✔ NPI 1730596685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Also ListedDermatologyTaxonomy 207N00000X
2237 HIGHWAY 9 E, Longs, SC 29568
Open in Google Maps ↗

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 MULTIPLE 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 for Provider-Performed Microscopy Procedures (PPMP) 42D2083215

Atlantic Dermatology, Inc · Longs, SC
Active · expires Aug 28, 2026
CLIA Number42D2083215
Laboratory TypePhysician Office
Certificate Effective DateAugust 29, 2024
Certificate Expiration DateAugust 28, 2026
Laboratory DirectorKenneth R. Warrick
Laboratory Phone(843) 399-9965
Laboratory LocationAtlantic Dermatology, Inc2237 Hwy 9, Longs, SC 29568
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MISS JI Y LEE PA-C
Physician Assistant
2237 HIGHWAY 9 E
LONGS, SC 29568
Horry County (877) 231-3376
DR. KENNETH RAY WARRICK M.D.
Dermatology
2237 HIGHWAY 9 E
LONGS, SC 29568
Horry County (843) 399-9965
ROMI TRABOLSKY
Physician Assistant
2237 HIGHWAY 9 E
LONGS, SC 29568
Horry County (843) 399-9965

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 Atlantic Dermatology's NPI number?

The NPI number for Atlantic Dermatology is 1730596685. It was assigned to this organization in the NPPES registry on July 11, 2014.

Where is Atlantic Dermatology located?

Atlantic Dermatology is located at 2237 Highway 9 E, Longs, SC 29568. The listed phone number is (843) 399-9965.

What is Atlantic Dermatology's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Does Atlantic Dermatology hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2083215) is associated with this NPI, valid through August 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Atlantic Dermatology accept?

Health plans from BlueCross BlueShield of South Carolina list Atlantic Dermatology 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 Atlantic Dermatology was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.