Individual provider Active NPI

Emily Cox Kmetz, MD

  • Dermatology Physician
  • Summerville, SC
National Provider Identifier
1235219692
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
27899 Issued in SC
Practice address
602 N Main St
Summerville, SC 29483-6627
Phone
(843) 881-4440
Fax
(843) 225-0110
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 27899 SC Primary

Addresses

Primary practice location

602 N Main St
Summerville, SC 29483-6627

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

612 Seacoast Pkwy
MT Pleasant, SC 29464-8247
Phone (843) 881-4440

Other practice location 2

1814 Crowne Commons Way Ste E7
Johns Island, SC 29455-4932
Phone (843) 881-4440

Other practice location 3

14490 Ocean Hwy
Pawleys Island, SC 29585-4821
Phone (843) 881-4440

Other names 1

  • Mrs. Emily Susannah Cox Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekmetz@directaddress.net Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090715000495 SC Practitioner - Dermatology 1850443219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical University of South Carolina College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

602 N Main St
Summerville, SC 29483-6627
Phone (843) 881-4440

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision164
Removal of skin lesions1958
Removal or shaving of skin growth55
Skin biopsy486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27899SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jun 7, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jun 7, 2024 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

1814 Crowne Commons Way
Ste E7
Johns Island, SC 29455
Phone (843) 881-4440

612 Seacoast Pkwy
Mt Pleasant, SC 29464
Phone (843) 881-4440

612 Seacoast Pkwy
#201
Mt Pleasant, SC 29464
Phone (843) 881-4440

14490 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 545-8850

602 N Main St
Summerville, SC 29483
Phone (843) 876-2121

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: ekmetz@directaddress.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1235219692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836627",
            "telephone_number": "843-881-4440",
            "fax_number": "843-225-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 Seacoast Pkwy",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294648247",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-884-8540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1814 Crowne Commons Way Ste E7",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294554932",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-737-5288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14490 Ocean Hwy",
            "address_purpose": "LOCATION",
            "city": "Pawleys Island",
            "state": "SC",
            "postal_code": "295854821",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-314-0785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KMETZ",
        "first_name": "EMILY",
        "middle_name": "COX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "27899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekmetz@directaddress.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "612 Seacoast Pkwy",
            "city": "Mount Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294648247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "COX",
            "middle_name": "SUSANNAH",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.