Individual provider Active NPI

Victoria Asmus

  • Dermatology Physician
  • Greenville, SC
National Provider Identifier
1063047033
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
3705 Issued in SC
Practice address
300 Ashby Park LN
Greenville, SC 29607-6903
Phone
(864) 288-1154
Fax
(864) 288-2554
NPI assigned
Mar 10, 2020
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 3705 SC Primary

Addresses

Primary practice location

300 Ashby Park LN
Greenville, SC 29607-6903

Mailing address

300 Ashby Park LN
Greenville, SC 29607-6903
Phone (864) 288-1154

Other practice location 1

391 Serpentine Dr Ste 440
Spartanburg, SC 29303-3081
Phone (864) 410-1973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103002348 SC Practitioner - Physician Assistant 9335559368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Skin Cancer CenterGroup PAC ID 3678570397, 3 clinicians

Practice addresses (Care Compare)

300 Ashby Park LN
Greenville, SC 29607-6903
Phone (864) 288-1154

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3705SCMDOccupational Therapy Assistant

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFEADA/Endpoint/DFEADA

Organizations & group practices 1

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1063047033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ASHBY PARK LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076903",
            "telephone_number": "864-288-1154",
            "fax_number": "864-288-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ASHBY PARK LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076903",
            "telephone_number": "864-288-1154",
            "fax_number": "864-288-2554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Serpentine Dr Ste 440",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033081",
            "country_code": "US",
            "telephone_number": "864-410-1973",
            "fax_number": "864-288-2554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASMUS",
        "first_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "3705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.