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NPI · 1376969428 · NPPES-sourced

Seaside Dermatology PA

ActiveDermatology
NPI Number
1376969428
Type 2 · Organisation
Taxonomy Code
207N00000X
Contact
(843) 651-4600
License SC · 36498
Last Updated
About 6 years ago (Mar 2020)
Enumerated 2014-03-13
Primary practice addressSC · 29576-5032
4017 Highway 17, Suite 200Murrells Inlet, SC 29576-5032
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About this NPIWhat this record shows.

NPI 1376969428 is registered to Seaside Dermatology PA, a healthcare organisation classified as "Dermatology" and located at 4017 Highway 17, Suite 200 in Murrells Inlet, South Carolina. The organisation's authorised official is Vienna Gibson. The organisation has been enumerated in the NPI registry since 2014.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2014-03-13
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Seaside Dermatology PA accepts. To confirm in-network status with your specific health plan, contact Seaside Dermatology PA directly at (843) 651-4600.

Frequently asked

Yes. NPI 1376969428 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (843) 651-4600.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Seaside Dermatology PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207N00000X
Last updated2020-03
Enumerated2014-03-13
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
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1 record · same addressOther providers at this location.

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Same specialtyOther Dermatology providers in South Carolina.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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