Lesly S. Davidson, MD, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LESLY S. DAVIDSON, MD, PA

Practice address

901 Von Kolnitz Rd Ste 100
Mt Pleasant, SC 29464-3772

Phone

(843) 216-3376

Fax

(843) 216-3242

NPI assigned

Aug 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lesly S Davidson, MDNPI 1861433997

Title

MD/Owner

Phone

(843) 906-3980

Specialties & licenses 1

Addresses

Other names 1

• Davidson Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lesly S Davidson, M.D.

  • Specialist
  • Mt Pleasant, SC
  • NPI 1861433997
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole U Amrhein, MD

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1295351120
  Medicare reassignment Care Compare group NPD
• Lauren Bostwick McElveen, PHYSICIAN ASSISTANT

  • Psychiatry Physician
  • Mount Pleasant, SC
  • NPI 1942085915

  Dermatology

  NPD
• Melissa E Loeffler, PA-C

  • Physician Assistant
  • Charleston, SC
  • NPI 1770602682
  NPD (past)
• Ellen Matteson, PA-C

  • Medical Physician Assistant
  • Westport, CT
  • NPI 1427320282
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659916800000",
    "number": "1003543190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 VON KOLNITZ RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643772",
            "telephone_number": "843-216-3376",
            "fax_number": "843-216-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 VON KOLNITZ RD STE 100",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643772",
            "telephone_number": "843-216-3376",
            "fax_number": "843-216-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLY S. DAVIDSON, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "LESLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "843-906-3980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Leonard
• Sadie D Leonard
• Wyvette Angela Tressa Maria Leoni, PA-C
• Barbara Lesky, LPN
• Leslie J. Graham, MSW, Lisw-CP, LLC
• Allison Marie Lester, PA-C
• Kelvin Leung, RRT
• Stephen Bregstone Levenberg, PH.D.
• German Z. Levin, MD
• Sheldon C Levin, PH D

• Dermatology Physician in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.