Germain Dermatology, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

22169 Issued in SC

Legal business name

GERMAIN DERMATOLOGY, PA

Practice address

612 Seacoast Pkwy
Suite 201
Mount Pleasant, SC 29464-8247

Phone

(843) 881-4440

Fax

(843) 884-8540

NPI assigned

Mar 9, 2007

Last updated

Oct 21, 2009By 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

Nelda Fields

Title

Consultant

Phone

(843) 881-4440

Specialties & licenses 4

Addresses

Other identifiers 3

Locations

Practitioners 2

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.

• Melissa E Loeffler, PA-C

  • Physician Assistant
  • Charleston, SC
  • NPI 1770602682
  NPD (past)
• Katlyn M. Straup, DNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1508249772
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1417089376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SEACOAST PKWY",
            "address_2": "SUITE 201",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648247",
            "telephone_number": "843-881-4440",
            "fax_number": "843-884-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SEACOAST PKWY",
            "address_2": "SUITE 201",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294648247",
            "telephone_number": "843-881-4440",
            "fax_number": "843-884-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMAIN DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "NELDA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "843-881-4440"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "1048",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "22169",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "22169",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "SC",
            "license": "22169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF PA",
            "identifier": "1417048638",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF PA",
            "identifier": "1740514223",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI OF MD",
            "identifier": "1750308219",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gentle Rise Counseling
• Genuine Home Care LLC. (Visiting Angels)
• George F. Lee
• Gerard Associates PC (Jeffrey Nigro, LISW-CP)
• Molly Gerber
• Marguerite A Germain, MD
• Madison Gersper
• Ashlyn Caroline Getway
• Joanna C Ghegan, MD
• Robert Joseph Gibb, DPT

• Dermatology Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.