The Dermatology Group LLC
NPI 1962454504ActiveOrganization· Dermatology· Columbia, SC
Dermatology in Columbia, South Carolina, registered in NPPES in May 2006. The authorized official on file is Lee T. Jordan, MD, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962454504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 16, 2006 |
| Last updated in NPPES | Mar 26, 2025 |
| Certified by provider | Mar 26, 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 (SC) |
|---|
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