{"npi":"1023216033","type":"NPI-2","status":"active","name":{"display":"Hillcrest Dermatology Center","other":[],"organization_name":"HILLCREST DERMATOLOGY CENTER","authorised_official":"Gregg Colle MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1719 VILLAGEPARK DR","city":"ORANGEBURG","state":"SC","postal_code":"291182475","country_code":"US","phone":"8035350909"},{"purpose":"MAILING","street_1":"1719 VILLAGEPARK DR","city":"ORANGEBURG","state":"SC","postal_code":"291182475","country_code":"US","phone":"8035350909"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"GP1266","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040611000397","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"SC","pac_id":"5395728133"}]},"enumeration_date":"2007-07-11","last_updated":"2007-11-02","_meta":{"source":"NPPES","snapshot_date":"2007-11-02","doc_url":"https://findmynpi.com/api"}}