THE DERMATOLOGY GROUP LLC
NPI 1962454504
Dermatology in Columbia, SC

Active since May 16, 2006
1709 BARNWELL ST, COLUMBIA, SC 29201(803) 254-3376(803) 254-3883 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About The Dermatology Group Llc NPPES

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

THE DERMATOLOGY GROUP LLC (NPI 1962454504) is a healthcare organization registered as a dermatology in Columbia, South Carolina and active in the NPI registry since May 2006. The organization lists Lee T Jordan, Partner, as its authorized official.

NPPES Registry Identity

NPI1962454504
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameTHE DERMATOLOGY GROUP LLC
Location Address1709 BARNWELL STColumbia, SC 29201-2641
Mailing Address1709 Barnwell StreetColumbia, SC 29201-2641 · (803) 254-3376 · Fax (803) 254-3883
Fax(803) 254-3883
Organization SubpartNo
Authorized OfficialLee T JordanPartner · (803) 254-3376
Enumeration DateMay 16, 2006
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1962454504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1709 BARNWELL ST, Columbia, SC 29201

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

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)

The Dermatology Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Dermatology Group LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Dermatology
NPI 1285611525
1709 BARNWELL ST
Columbia, SC 29201
(803) 254-3376
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1013397835
1709 BARNWELL ST
Columbia, SC 29201
(803) 254-3376
✔ PECOS✔ Accepts MedicareSame address
Dermatology
NPI 1851378194
1102 ROBERTS STREET
Camden, SC 29020
(803) 254-3376
✔ PECOS✔ Accepts Medicare30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 The Dermatology Group LLC's NPI number?

The NPI number for The Dermatology Group LLC is 1962454504. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is The Dermatology Group LLC located?

The Dermatology Group LLC is located at 1709 Barnwell St, Columbia, SC 29201. The listed phone number is (803) 254-3376.

What is The Dermatology Group LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is The Dermatology Group LLC enrolled in Medicare?

Yes. The Dermatology Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Dermatology Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to The Dermatology Group LLC, in Dermatology and Pathology. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Dermatology Group LLC accept?

Health plans from BlueCross BlueShield of South Carolina and InStil Health list The Dermatology Group LLC 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 The Dermatology Group LLC was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.