Individual provider Active NPI

Elizabeth S Dunlavey, M.D.

  • Dermatology Physician
  • Spartanburg, SC
National Provider Identifier
1407856305
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19035 Issued in SC
Practice address
2020 N Church Street PL
Spartanburg, SC 29303-2706
Phone
(864) 582-3447
Fax
(864) 582-3449
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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 19035 SC Primary

Addresses

Primary practice location

2020 N Church Street PL
Spartanburg, SC 29303-2706

Mailing address

2020 N Church Street PL
Spartanburg, SC 29303-2706
Phone (864) 582-3447

Other identifiers 1

IdentifierTypeStateIssuer
190359MedicaidSC

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
I20091002000111 SC Practitioner - Dermatology 3971593849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical University of South Carolina College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Dermatology and Skin Surgery Clinic, PCGroup PAC ID 7810987856, 5 clinicians

Practice addresses (Care Compare)

2020 N Church PL
Spartanburg, SC 29303-2706
Phone (864) 582-3447

Merit-based Incentive Payment System (MIPS)

Final score
92.6 of 100Reported as group
Quality
95.1
Improvement activities
40
Cost
81.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of skin lesions2811
Removal or shaving of skin growth1-10
Skin biopsy654

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19035SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Dermatology & Skin Surgery Clinic, PC Dermatology CurrentSince Sep 1, 2009 Accepting new patients

Locations

2020 N Church Street Pl
Spartanburg, SC 29303
Phone (864) 582-3447

Interoperability endpoints

  • Direct secure messaging: elizabeth.dunlavey@direct.spartanburgderm.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1407856305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N CHURCH STREET PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032706",
            "telephone_number": "864-582-3447",
            "fax_number": "864-582-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N CHURCH STREET PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032706",
            "telephone_number": "864-582-3447",
            "fax_number": "864-582-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAVEY",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "19035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "190359",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.