Active NPI
Curtis Lamar Hardy, D.O.
- Dermatology Physician
- Chapin, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 93601
- Practice address
- 200 Clark St
Chapin, SC 29036-8633 - Phone
- (803) 233-8668
- Fax
- (619) 367-0403
- NPI assigned
- Jan 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician | 207ND0900X | 93601 | SC | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | DO209078 | OR | |
| Dermatology Physician | 207N00000X | 93601 | SC | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 93601 | SC | |
| Dermatology Physician | 207N00000X | DO209078 | OR | |
| Dermatopathology Physician | 207ND0900X | DO209078 | OR |
Addresses
Primary practice location
200 Clark St
Chapin, SC 29036-8633
Mailing address
306 Lexington Ave
Chapin, SC 29036-8086
Phone (803) 233-8668
Other practice location 1
2924 Siskiyou Blvd Ste 200
Medford, OR 97504-6462
Phone (541) 200-2777
Other practice location 2
306 Lexington Ave
Chapin, SC 29036-8086
Phone (803) 233-8668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500804519 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA, IL, TN, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220309000399 | OR | Practitioner - Dermatology | 5597162933 | Reassigns benefits to 1 organization |
| I20240621001803 | CA | Practitioner - Dermatology | 5597162933 | |
| I20251008004486 | IL | Practitioner - Dermatology | 5597162933 | Reassigns benefits to 1 organization |
| I20251104001753 | TN | Practitioner - Dermatology | 5597162933 | Reassigns benefits to 1 organization |
| I20260109000575 | SC | Practitioner - Dermatology | 5597162933 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- West Virginia School of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Illinois Dermatology, PCClinic for Dermatology and Wellness LLC
Practice addresses (Care Compare)
220 N Park Ave
Suite 2
Herrin, IL 62948-3150
Phone (618) 942-3344
2924 Siskiyou Blvd
Suite 200
Medford, OR 97504-6462
Phone (541) 200-2777
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of skin lesions | 1-10 |
| Removal of skin cancer | 47 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6285 | TN | MD | Pharmacist |
| 20A19597 | CA | MD | Dermatopathology Physician |
| DO209078 | OR | MD | Dermatopathology Physician |
| 19597 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Collo Rosso Pathology, LLC | Current | Accepting new patients | |
| Southern Illinois Dermatology, PC | Single Specialty | Current | Accepting new patients |
| Dermatopathology Partners PC | Single Specialty | Current | Accepting new patients |
| Clinic for Dermatology & Wellness LLC | Single Specialty | Current | Accepting new patients |
Locations
220 N Park Ave
Ste 2
Herrin, IL 62948
Phone (618) 942-3344
1401 Walnut St
Murphysboro, IL 62966
Phone (618) 565-1212
2937 Siskiyou Blvd
Ste 1
Medford, OR 97504
Phone (541) 200-2777
2924 Siskiyou Blvd
Ste 200
Medford, OR 97504
Phone (541) 200-2777
Dept 888136
Knoxville, TN 37995
139 Fox Rd
Ste 204
Knoxville, TN 37922
Phone (865) 201-2560
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- Medford, OR
- NPI 1467908863
OR, Single Specialty
-
- Dermatology Physician
- Herrin, IL
- NPI 1306870233
IL, Single Specialty
-
- Dermatopathology (Pathology) Physician
- Knoxville, TN
- NPI 1528330644
Single Specialty, TN
-
- Dermatopathology (Pathology) Physician
- Chapin, SC
- NPI 1295669075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1326469743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 LEXINGTON AVE",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290368086",
"telephone_number": "803-233-8668",
"fax_number": "619-367-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CLARK ST",
"city": "CHAPIN",
"state": "SC",
"postal_code": "290368633",
"telephone_number": "803-233-8668",
"fax_number": "619-367-0403"
}
],
"practiceLocations": [
{
"address_1": "2924 Siskiyou Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975046462",
"country_code": "US",
"telephone_number": "541-200-2777",
"fax_number": "541-214-2575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "306 Lexington Ave",
"address_purpose": "LOCATION",
"city": "Chapin",
"state": "SC",
"postal_code": "290368086",
"country_code": "US",
"telephone_number": "803-233-8668",
"fax_number": "619-367-0403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDY",
"first_name": "CURTIS",
"middle_name": "LAMAR",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-02",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": "SC",
"license": "93601",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "OR",
"license": "DO209078",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "SC",
"license": "93601",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "SC",
"license": "93601",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "DO209078",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "OR",
"license": "DO209078",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500804519",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.