Southern Dermatology Medical LLC
NPI 1265024186ActiveOrganization· Dermatology· Aiken, SC
Dermatology in Aiken, South Carolina, registered in NPPES in February 2021. The authorized official on file is Briana Brown, DO, Dermatologist. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1265024186 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2021 |
| Last updated in NPPES | Jan 13, 2025 |
| Certified by provider | Jan 8, 2025 |
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 (GA); Part B Supplier - Clinic/Group Practice (SC) |
|---|
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