Phillip Lane Latham Jr., MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

BL4905850 Issued in SC

Practice address

560 Constitution Dr
Sumter, SC 29154-8175

Phone

(803) 775-4469

Fax

(803) 775-4981

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Dermatology

Education

University of South Carolina School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Skin Surgery IncGroup PAC ID 2860822699, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.82 of 100Reported as group

Quality

86.45

Improvement activities

40

Cost

87.46

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: platham@directaddress.net

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.

• Dermatology and Skin Surgery Inc

  • Dermatology Physician
  • Sumter, SC
  • NPI 1366075343
  Medicare reassignment Care Compare group NPD Authorized official
• Sumter Psychiatry Associates PA

  • Psychiatry Physician
  • Sumter, SC
  • NPI 1679589485
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1437178548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 CONSTITUTION DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291548175",
            "telephone_number": "803-775-4469",
            "fax_number": "803-775-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 CONSTITUTION DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291548175",
            "telephone_number": "803-775-4469",
            "fax_number": "803-775-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "PHILLIP",
        "middle_name": "LANE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "BL4905850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "platham@directaddress.net",
            "affiliation": "N",
            "address_1": "560 Constitution Dr",
            "city": "Sumter",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291548175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Landmark Leasing Inc
• Marti Carrington Landrum, LISW-CP
• William Lane
• Dennis J. Lang, DO
• Jessica Nicole Langley
• Roxanne Latimer
• Steven C Lauzon, MD
• Gabrielle Lavergne
• Sandra D Lawrence, CRNA
• Travis L Laws

• Dermatology Physician in Sumter, SC
• Providers in Sumter, 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 Sep 29, 2025; 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.

Verify at the official NPI Registry.