Polaris Skin Diagnostics, LLC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

Legal business name

POLARIS SKIN DIAGNOSTICS, LLC

Practice address

8170 Rourk Street
Suite 100
Myrtle Beach, SC 29572

Phone

(917) 756-0188

NPI assigned

Dec 20, 2019

Last updated

Nov 12, 2025By 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

Stephen B Hammond, MDNPI 1851553523

Title

Owner

Phone

(917) 756-0188

Specialties & licenses 1

Addresses

Other identifiers 1

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 4

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.

• Stephen Hammond, M.D

  • Dermatopathology Physician
  • Myrtle Beach, SC
  • NPI 1851553523
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Joseph Teague, M.D.

  • Dermatopathology (Pathology) Physician
  • Winston Salem, NC
  • NPI 1942407291

  SC

  Medicare reassignment Care Compare group NPD
• John Joseph Cangelosi, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
  • NPI 1831393438

  SC

  Medicare reassignment NPD
• Christine Shan-Shan Lin, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greensboro, NC
  • NPI 1326209776

  SC

  Medicare reassignment

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1215575238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 ROURK ST STE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724127",
            "telephone_number": "843-282-1915",
            "fax_number": "843-839-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 ROURK STREET",
            "address_2": "SUITE 100",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29572",
            "telephone_number": "917-756-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS SKIN DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-756-0188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9511",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Hamilton Plyler, FNP-C
• Damien Poet
• Lee Pohto, CCC-SLP
• Lyndsay Polanski
• Polaris Jack, Inc. (Pure Compounding)
• Polaya Anesthesia LLC
• Thomas Alan Polen, MD
• Vjekoslav Marko Polic, M.D.
• Jennifer Theresa Poling, RN
• Taylor Harrison Polk, MD

• Dermatopathology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dermatopathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.