Individual provider Active NPI

Gabriella Francesca Vasile, DO

  • Dermatology Physician
  • Mount Pleasant, SC
National Provider Identifier
1013456185
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
87769 Issued in SC
Practice address
302 Wingo Way Ste 303
Mount Pleasant, SC 29464-2839
Phone
(843) 974-1230
Fax
(843) 974-1231
NPI assigned
Feb 21, 2017
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 87769 SC
Dermatology Physician 207N00000X 87769 SC Primary

Addresses

Primary practice location

302 Wingo Way Ste 303
Mount Pleasant, SC 29464-2839

Mailing address

302 Wingo Way Ste 303
Mount Pleasant, SC 29464-5299
Phone (843) 974-1230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231103000866 SC Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 0446620942 Reassigns benefits to 2 organizations
I20251020000896 FL Practitioner - Dermatology 0446620942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Institute of Dermatology PAGroup PAC ID 4082682059, 11 clinicians
Metrolina Dermatology and Skin Surgery Specialists PLLCGroup PAC ID 3173891892, 39 clinicians

Practice addresses (Care Compare)

171 Webb Dr
Suite 1
Davenport, FL 33837-3963
Phone (863) 386-0786

302 Wingo Way
Suite 303
Mount Pleasant, SC 29464-5299
Phone (843) 974-1230

3109 Medical Way
Sebring, FL 33870-5548
Phone (863) 386-0786

8208 Devon CT
Suite B
Myrtle Beach, SC 29572-4178
Phone (704) 364-6110

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions191
Removal of skin cancer149
Skin biopsy55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolina Dermatology and Skin Surgery Specialists, PLLC Dermatology CurrentSince Aug 1, 2025 Accepting new patients
American Institute of Dermatology PA Dermatology CurrentSince Oct 13, 2025 Accepting new patients
Reforme Dermatology and Aesthetics, LLC Dermatology CurrentSince Aug 31, 2023 Accepting new patients

Locations

3109 Medical Way
Sebring, FL 33870
Phone (863) 386-0786

302 Wingo Way
Ste 303
Mount Pleasant, SC 29464
Phone (843) 974-1230

8208 Devon Ct
#B
Myrtle Beach, SC 29572
Phone (843) 839-2460

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1013456185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WINGO WAY STE 303",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294645299",
            "telephone_number": "843-974-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WINGO WAY STE 303",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294642839",
            "telephone_number": "843-974-1230",
            "fax_number": "843-974-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASILE",
        "first_name": "GABRIELLA",
        "middle_name": "FRANCESCA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "87769",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "87769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.