Individual provider Active NPI

Lee Smith Carson, M.D.

  • Dermatology Physician
  • Greenville, SC
National Provider Identifier
1649248576
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
22975 Issued in SC
Practice address
5 W Main St
Greenville, SC 29611-4215
Phone
(864) 522-5220
Fax
(864) 522-5309
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X 22975 SC
Dermatology Physician 207N00000X 22975 SC Primary
Internal Medicine Physician 207R00000X 22975 SC

Addresses

Primary practice location

5 W Main St
Greenville, SC 29611-4215

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (645) 228-6118

Other practice location 1

9 Richland Medical Park Dr Ste 450
Columbia, SC 29203-6859
Phone (803) 434-6155

Other identifiers 2

IdentifierTypeStateIssuer
8616OtherSCMEDICARE GROUP PIN FOR NE DERMATOLOGY
T70900MedicaidSC

Other names 1

  • Mrs. Lee Smith Former name

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
I20040621000489 SC Practitioner - Dermatology 6709861263 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22975SCMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Health - University of South Carolina Medical Group CurrentSince Feb 2, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 5, 2025 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine Current Accepting new patients
Carolina Dermatology GRP Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Prisma Health University Medical Group Internal Medicine CurrentSince Oct 5, 2025 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Feb 2, 2024 Accepting new patients
University Specialty Clinics - University Primary Care Past Accepting new patients
CSC Acquisition, LLC Dermatology Past Accepting new patients

Locations

220 Graces Way
Columbia, SC 29229
Phone (803) 736-4560

9 Richland Medical Park Dr
Ste 450
Columbia, SC 29203
Phone (803) 434-8800

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

14 Richland Medical Park Dr
Ste 400
Columbia, SC 29203
Phone (803) 434-7945

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

5 W Main St
Greenville, SC 29611
Phone (864) 522-5220

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: lcarson61924@direct.ghs.myhfn.org

Organizations & group practices 8

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1649248576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "645-228-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W MAIN ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296114215",
            "telephone_number": "864-522-5220",
            "fax_number": "864-522-5309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Richland Medical Park Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036859",
            "country_code": "US",
            "telephone_number": "803-434-6155",
            "fax_number": "803-434-3855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARSON",
        "first_name": "LEE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "SC",
            "license": "22975",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "22975",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "22975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN FOR NE DERMATOLOGY",
            "identifier": "8616",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T70900",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "SMITH",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.