Collo Rosso Dermatology, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COLLO ROSSO DERMATOLOGY, PC

Practice address

200 Clark St
Chapin, SC 29036-8633

Phone

(803) 233-8668

Fax

(619) 367-0403

NPI assigned

Apr 19, 2024

Last updated

Oct 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amber Rakestraw

Title

Manager

Phone

(803) 233-8668

Specialties & licenses 3

Addresses

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Curtis Lamar Hardy, D.O.

  • Dermatology Physician
  • Chapin, SC
  • NPI 1326469743
  Medicare reassignment

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791676800000",
    "number": "1033964374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 LEXINGTON AVE",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368086",
            "telephone_number": "803-233-8668",
            "fax_number": "803-956-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CLARK ST",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290368633",
            "telephone_number": "803-233-8668",
            "fax_number": "619-367-0403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2924 Siskiyou Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046462",
            "country_code": "US",
            "telephone_number": "541-214-2575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Monteagle",
            "state": "TN",
            "postal_code": "373563074",
            "country_code": "US",
            "telephone_number": "803-233-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 N Park Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483150",
            "country_code": "US",
            "telephone_number": "803-233-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Chapin",
            "state": "SC",
            "postal_code": "29036",
            "country_code": "US",
            "telephone_number": "803-233-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1175 Cook Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291188201",
            "country_code": "US",
            "telephone_number": "803-233-8668",
            "fax_number": "803-956-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLO ROSSO DERMATOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2026-10-11",
        "certification_date": "2026-10-11",
        "status": "A",
        "authorized_official_last_name": "RAKESTRAW",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-233-8668",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Chapin, SC
• Providers in Chapin, 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 Oct 11, 2026; 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.