Advanced Dermatology of SC PC
NPI 1447911938ActiveOrganization· Dermatology· Fort Mill, SC
Dermatology in Fort Mill, South Carolina, registered in NPPES in January 2022, part of Advanced Dermatology of SC PC. The authorized official on file is Amy Declue, Director Provider Enrollment.
Overview
| NPI | 1447911938 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Advanced Dermatology of SC PC |
| NPI issued | Jan 6, 2022 |
| Last updated in NPPES | Jan 6, 2022 |
| Certified by provider | Jan 6, 2022 |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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