Individual provider Active NPI

Cassandra Beard, D.O.

  • Dermatology Physician
  • Okatie, SC
National Provider Identifier
1508304833
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
83716 Issued in SC
Practice address
40 Okatie Center Blvd S Ste 210
Okatie, SC 29909-7511
Phone
(843) 705-0840
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X 83716 SC Primary

Addresses

Primary practice location

40 Okatie Center Blvd S Ste 210
Okatie, SC 29909-7511

Mailing address

40 Okatie Center Blvd S Ste 210
Okatie, SC 29909-7511
Phone (843) 705-0840

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
I20210823000016 SC Practitioner - Dermatology 9436436904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Dermatology PCGroup PAC ID 8628961943, 5 clinicians

Practice addresses (Care Compare)

40 Okatie Ctr Blvd S
Suite 210
Bluffton, SC 29909-7511
Phone (843) 689-5259

Hospital & facility affiliations

  • Beaufort County Memorial Hospital Hospital, Beaufort, SC, CCN 420067

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision160
Removal of tissue1-10
Removal of skin lesions1682
Removal of skin cancer148
Removal or shaving of skin growth1-10
Skin biopsy213

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Dermatology PC Dermatology Current Accepting new patients
Heritage Dermatology PC Dermatology CurrentSince Aug 30, 2021 Accepting new patients
Heritage Dermatology PC Dermatology Past Accepting new patients

Locations

242 Ladys Island Dr
Beaufort, SC 29907
Phone (843) 352-6363

3901 Main St
Ste D
Hilton Head Island, SC 29926
Phone (843) 242-7223

40 Okatie Center Blvd S
Ste 210
Okatie, SC 29909
Phone (843) 705-0840

Organizations & group practices 3

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 1

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": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1508304833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S STE 210",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097511",
            "telephone_number": "843-705-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S STE 210",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097511",
            "telephone_number": "843-705-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARD",
        "first_name": "CASSANDRA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "83716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.