GERMAIN DERMATOLOGY PA NPI 1417089376

NPI Information

  • NPI: 1417089376
  • Provider Name: GERMAIN DERMATOLOGY, PA
  • Classification: Dermatology - 207N00000X
  • Entity Type: Organization
  • CLIA Number: 42D2288627
  • Address: 612 SEACOAST PKWY
    SUITE 201
    MOUNT PLEASANT, SC
    ZIP 29464
  • Phone: (843) 881-4440

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NPI Details

GERMAIN DERMATOLOGY, PA is a dermatology in Mount Pleasant, SC. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. GERMAIN DERMATOLOGY, PA NPI is 1417089376. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

612 SEACOAST PKWY
SUITE 201
MOUNT PLEASANT, SC
ZIP 29464-247
Phone: (843) 881-4440
Fax: (843) 884-8540

The provider's authorized official is Nelda Fields .
The authorized official title is Consultant and has the following contact phone number (843) 881-4440.

The CLIA number assigned to this NPI record is 42D2288627 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 10/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0101XDermatologyMOHS-Micrographic Surgery22169SOUTH CAROLINANo
2207NS0135XDermatologyProcedural Dermatology22169SOUTH CAROLINANo
3363A00000XPhysician Assistant1048SOUTH CAROLINANo
4207N00000XDermatology22169SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11417048638OTHERSOUTH CAROLINANPI OF PA
21750308219OTHERSOUTH CAROLINANPI OF MD
31740514223OTHERSOUTH CAROLINANPI OF PA
4G24206MEDICARE UPINSOUTH CAROLINA
57532MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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