NPIMap

Individual provider Active NPI

David Robert Smith Jr., DO

  • Dermatology Physician
  • Charleston, SC
National Provider Identifier
1427672260
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
95354 Issued in SC
Practice address
171 Ashley Ave
Charleston, SC 29425-0100
Phone
(843) 792-1414
NPI assigned
Jun 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 95354 SC Primary

Addresses

Primary practice location

171 Ashley Ave
Charleston, SC 29425-0100

Mailing address

PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200

Other identifiers 1

IdentifierTypeStateIssuer
OS024098MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240821000109 PA Practitioner - Dermatology 4789122888 Reassigns benefits to 2 organizations
I20251016000267 SC Practitioner - Dermatology 4789122888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

125 Smithfield LN
FL 2
East Stroudsburg, PA 18301-8715
Phone (484) 526-7035

1600 St Lukes Blvd
Easton, PA 18045-5671

171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414

5415 Lanark Rd
Center Valley, PA 18034-8693
Phone (484) 526-1260

5425 Lanark Rd
Suite 300
Center Valley, PA 18034-8693
Phone (484) 523-7300

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision34
Removal of skin lesions510
Removal or shaving of skin growth1-10
Skin biopsy183

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Aug 6, 2024 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 6, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Sep 2, 2025 Accepting new patients
Star Community Health, Inc CurrentSince Nov 19, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Star Community Health, Inc CurrentSince Nov 19, 2024 Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

1700 St Lukes Blvd
Easton, PA 18045
Phone (484) 526-4838

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

1101 Waterline St
Charleston, SC 29492
Phone (843) 985-4700

Interoperability endpoints

  • Direct secure messaging: dsmith548185@direct.musc.edu

Organizations & group practices 7

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1427672260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751461",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751461",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294250100",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-07",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "95354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OS024098",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.