Advanced Dermatology of SC PC
NPI 1255754008ActiveOrganization· Dermatology· Spartanburg, SC
Dermatology in Spartanburg, South Carolina, registered in NPPES in January 2014. The authorized official on file is Matt Leavitt, DO, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255754008 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2014 |
| Last updated in NPPES | Jan 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
Other Dermatology providers in Spartanburg
- 1336918408
- 1497709067
- 1053724450
- 1801013719
- 1861842031
- 1326247909
- 1285634188
- 1821098823
- 1992332092
- 1407856305
- 1437318607
- 1487654380