DERMATOLOGY SURGERY CENTER LLC NPI 1982783270

NPI Information

  • NPI: 1982783270
  • Provider Name: DERMATOLOGY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: LASER & SKIN SURGERY CENTER
  • CLIA Number: 42D0678335
  • Address: 15 HOSPITAL CENTER BLVD
    STE 2
    HILTON HEAD, SC
    ZIP 29926
  • Phone: (843) 689-9200

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NPI Details

DERMATOLOGY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Hilton Head, SC. DERMATOLOGY SURGERY CENTER, LLC NPI is 1982783270. The provider is registered as an organization entity type.
The provider Is Doing Business As Laser & Skin Surgery Center.

The provider's business location address is:

15 HOSPITAL CENTER BLVD
STE 2
HILTON HEAD, SC
ZIP 29926
Phone: (843) 689-9200
Fax: (843) 689-9201

The provider's authorized official is A Thomas Bundy .
The authorized official title is Executive Officer and has the following contact phone number (843) 689-9200.

The CLIA number assigned to this NPI record is 42D0678335 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm (HCPCS:13131)
  • Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
  • Complicated repair of wound of scalp, arms, or legs, 1.1-2.5 cm (HCPCS:13120)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 1.1-2.5 cm (HCPCS:13151)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm (HCPCS:14041)
  • Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
  • Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
  • Full thickness skin graft to nose, ears, eyelids, or lips, 20.0 sq cm or less (HCPCS:15260)
  • Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less (HCPCS:15220)
  • Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm (HCPCS:13152)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)

The enumeration date for this NPI number is 11/6/2006 and was last updated on 5/18/2016.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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
1Q328460001MEDICARE PINSOUTH CAROLINA
2=========OTHERSOUTH CAROLINAEIN
3Q328460001MEDICARE UPINSOUTH 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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