Active NPI
Collo Rosso Dermatology, a Medical Corporation
- Dermatology Physician
- Chapin, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- COLLO ROSSO DERMATOLOGY, A MEDICAL CORPORATION
- Practice address
- 200 Clark St
Chapin, SC 29036-8633 - Phone
- (803) 233-8668
- Fax
- (619) 367-0403
- NPI assigned
- Apr 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Curtis Lamar Hardy, DO
- Title
- Ceo
- Phone
- (803) 233-8668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Dermatopathology Physician | 207ND0900X |
Addresses
Primary practice location
200 Clark St
Chapin, SC 29036-8633
Mailing address
306 Lexington Ave
Chapin, SC 29036-8086
Phone (803) 233-8668
Other practice location 1
220 N Park Ave Ste 2
Herrin, IL 62948-3150
Phone (803) 233-8668
Other practice location 2
15 S Central Ave
Monteagle, TN 37356-3074
Phone (803) 233-8668
Other practice location 3
2924 Siskiyou Blvd Ste 200
Medford, OR 97504-6462
Phone (541) 214-2575
Other practice location 4
306 Lexington Ave
Chapin, SC 29036
Phone (803) 233-8668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260109000357 | SC | Part B Supplier - Clinic/Group Practice | 1456894278 |
Receives reassigned benefits from 1 practitioner Practice locations: Chapin, SC |
National Provider Directory
National Provider DirectoryLocations
7334 Girard Ave
La Jolla, CA 92037
133 Clark St
Chapin, SC 29036
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2337734 | Collo Rosso Dermatology | Registration | Jan 27, 2028 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784851200000",
"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": "619-367-0403"
},
{
"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": "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": "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": "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": "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"
}
],
"basic": {
"organization_name": "COLLO ROSSO DERMATOLOGY, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-19",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "CURTIS",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "803-233-8668",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"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": []
}
Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.