Active NPI
Forefront Dermatology, S.C.
Doing business as Germain Dermatology, A Forefront Dermatology Practice
- Dermatology Physician
- Mount Pleasant, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- FOREFRONT DERMATOLOGY, S.C.
- Doing business as
- Germain Dermatology, A Forefront Dermatology Practice
- Practice address
- 612 Seacoast Pkwy
Mt Pleasant, SC 29464-8247 - Phone
- (843) 881-4440
- Fax
- (843) 884-8540
- NPI assigned
- Jun 12, 2024
- Last updated
- Jun 12, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betsy Wernli, MD
- Title
- President
- Phone
- (920) 482-0671
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Procedural Dermatology Physician | 207NS0135X | |||
| Plastic Surgery Physician | 208200000X |
Addresses
Primary practice location
612 Seacoast Pkwy
Mt Pleasant, SC 29464-8247
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other practice location 1
14490 Ocean Hwy
Pawleys Island, SC 29585-4821
Phone (843) 881-4440
Other practice location 2
602 N Main St
Summerville, SC 29483-6627
Phone (843) 881-4440
Other practice location 3
1814 Crowne Commons Way Ste E7
Johns Island, SC 29455-4932
Phone (843) 881-4440
Other names 1
- Germain Dermatology, A Forefront Dermatology Practice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240716000844 | SC | Part B Supplier - Clinic/Group Practice | 3779471701 |
Receives reassigned benefits from 17 practitioners Practice locations: Johns Island, SC; Mt Pleasant, SC; Pawleys Island, SC; Summerville, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2288627 | Forefront Dermatology, SC | Compliance | Mar 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
14490 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 545-8850
Practitioners & affiliated clinicians
Practitioners 18
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.
-
- Plastic Surgery Physician
- Pawley's Island, SC
- NPI 1679563019
-
- Dermatology Physician
- Mount Pleasant, SC
- NPI 1366685885
-
- Physician Assistant
- Mount Pleasant, SC
- NPI 1417048638
-
- Physician Assistant
- Johns Island, SC
- NPI 1962135012
-
- Physician Assistant
- Mount Pleasant, SC
- NPI 1780782573
-
- Physician Assistant
- Mount Pleasant, SC
- NPI 1790029106
-
- Dermatology Physician
- Mount Pleasant, SC
- NPI 1750308219
-
- Dermatology Physician
- Summerville, SC
- NPI 1235219692
-
- Physician Assistant
- Mount Pleasant, SC
- NPI 1679351431
-
- Physician Assistant
- Johns Island, SC
- NPI 1164151452
-
- MOHS-Micrographic Surgery Physician
- Mount Pleasant, SC
- NPI 1760679203
Dermatology
-
- Physician Assistant
- Summerville, SC
- NPI 1336637693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718150400000",
"number": "1295577922",
"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": "612 SEACOAST PKWY",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294648247",
"telephone_number": "843-881-4440",
"fax_number": "843-884-8540"
}
],
"practiceLocations": [
{
"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"
},
{
"address_1": "602 N Main St",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "294836627",
"country_code": "US",
"telephone_number": "843-881-4440",
"fax_number": "843-225-0110",
"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"
}
],
"basic": {
"organization_name": "FOREFRONT DERMATOLOGY, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-12",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A",
"authorized_official_last_name": "WERNLI",
"authorized_official_first_name": "BETSY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-482-0671",
"authorized_official_credential": "MD"
},
"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": "207NS0135X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Germain Dermatology, A Forefront Dermatology Practice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.