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Northeast Dermatology, PA

Dermatology Physician in Columbia, SC · enumerated 2006 · authorized official Lee Carson, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154422558

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Dermatology, PA
Practice address 220 Graces Way, Columbia, SC, 29229
Phone (803) 736-4560
Fax (803) 744-1217
Enumeration date Sep 26, 2006
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians · License 22975 (SC) Primary

Authorized official

Name Lee Carson
Title President
Phone (803) 736-4560

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Northeast Dermatology, PA?
The NPI for Northeast Dermatology, PA is 1154422558, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Northeast Dermatology, PA?
NPPES lists Lee Carson (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.