Hillcrest Dermatology Center

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HILLCREST DERMATOLOGY CENTER

Practice address

1719 Villagepark Dr
Orangeburg, SC 29118-2475

Phone

(803) 535-0909

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Gregg J. Colle MD

Title

Doctor

Phone

(803) 535-0909

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1023216033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 VILLAGEPARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182475",
            "telephone_number": "803-535-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 VILLAGEPARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182475",
            "telephone_number": "803-535-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST DERMATOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "COLLE MD",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "803-535-0909"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1266",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire L Hewitt, RPH
• Kimberly Nicole Hicks, LPC
• Neal Hampton Higgins
• Tammy A Hightower, FNP-BC
• Conita L Hill, PA
• Co Thi Ho, M.D.
• Duane Hogue, APRN
• Tysha S Holmes, PA-C
• Valerie Louise Holmstrom, PHD
• Candace Culler Holstein, NP

• Dermatology Physician in Orangeburg, SC
• Providers in Orangeburg, 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 Nov 2, 2007; 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.