ATLANTIC DERMATOLOGY
NPI 1730596685
Dermatology - Procedural Dermatology in Longs, SC
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, 2028 and lists Kenneth Ray Warrick, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Atlantic Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Atlantic Dermatology, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 for Provider-Performed Microscopy Procedures (PPMP) 42D2083215
Atlantic Dermatology, Inc · Longs, SCFrequently 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.
Is Atlantic Dermatology enrolled in Medicare?
Yes. Atlantic Dermatology is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Atlantic Dermatology?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Atlantic Dermatology, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 4 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.
# Atlantic Dermatology · NPI 1730596685
Procedural Dermatology organization in Longs, South Carolina. Organization record, active in the CMS NPPES registry since July 11, 2014.
## Identity
- **NPI:** 1730596685 (Entity type: Organization)
- **Enumerated:** July 11, 2014
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **Organization subpart:** No
- **Authorized official:** Kenneth Warrick, OWNER
## Practice location
- **Address:** 2237 HIGHWAY 9 E, Longs, SC 29568-5701
- **Phone:** (843) 399-9965 · **Fax:** (843) 399-9974
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1730596685) · Data from the CMS NPPES public registry.