Clearline Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CLEARLINE DERMATOLOGY, LLC

Practice address

776 Daniel Ellis Dr Ste 1a
Charleston, SC 29412-3095

Phone

(678) 977-9753

NPI assigned

Oct 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Richard Russell Pierce, MDNPI 1649619404

Title

President

Phone

(843) 723-6529

Specialties & licenses 1

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

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Pierce, MD

  • Dermatology Physician
  • Charleston, SC
  • NPI 1649619404
  Medicare reassignment Care Compare group NPD Authorized official
• Casey Marie Chern, MD

  • Dermatology Physician
  • Charleston, SC
  • NPI 1194163063
  Medicare reassignment Care Compare group NPD
• Rachel Hill, M.D.

  • Dermatology Physician
  • Daniel Island, SC
  • NPI 1336377738
  Medicare reassignment Care Compare group
• Melissa E Loeffler, PA-C

  • Physician Assistant
  • Charleston, SC
  • NPI 1770602682
  Medicare reassignment Care Compare group
• Emily Murphy, PA-C

  • Medical Physician Assistant
  • Mt Pleasant, SC
  • NPI 1699014381
  Medicare reassignment Care Compare group
• Caroline Jill Buehler, M.S, PA-C

  • Physician Assistant
  • Annapolis, MD
  • NPI 1679977078

  SC

  Medicare reassignment Care Compare group
• Peter L Mattei IV, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sarasota, FL
  • NPI 1013195759

  Dermatology, SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1134729882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 DANIEL ELLIS DR STE 1A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123095",
            "telephone_number": "843-723-6529",
            "fax_number": "843-723-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 DANIEL ELLIS DR STE 1A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294123095",
            "telephone_number": "678-977-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLINE DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-723-6529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Clawson, MS, ATC
• Chelsea Lynn Clay, PA-C
• Kelly Anne Clay, M.D.
• Louise Bowen Clay, M.D.
• Maureen Burke Clayton, LICSW
• Logan Katheryne Cleary
• Bonnie Fralix Cleaveland, PHD DBPP
• John B Cleek, M.D.
• Amanda Snyder Clegg, MOT, OTR
• Cody Clemens

• Dermatology Physician in Charleston, SC
• Providers in Charleston, 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 Feb 26, 2021; 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.