Organization Active NPI

Collo Rosso Dermatology, a Medical Corporation

  • Dermatology Physician
  • Chapin, SC
National Provider Identifier
1033964374
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Dr. Curtis Lamar Hardy, DONPI 1326469743
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Dermatopathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20260109000357 SC Part B Supplier - Clinic/Group Practice 1456894278 Receives reassigned benefits from 1 practitioner
Practice locations: Chapin, SC

National Provider Directory

National Provider Directory

Locations

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 NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2337734Collo Rosso Dermatology15 South Central Ave, Monteagle, TN 37356RegistrationJan 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.

Verify at the official NPI Registry.