Individual provider Active NPI

Richard Andrew Jamison, M.D.

  • Dermatology Physician
  • Greenville, SC
National Provider Identifier
1669609665
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35440 Issued in SC
Practice address
5 Stevens St Ste 300
Greenville, SC 29605-4528
Phone
(864) 233-6338
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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 35440 SC Primary

Addresses

Primary practice location

5 Stevens St Ste 300
Greenville, SC 29605-4528

Mailing address

5 Stevens St Ste 300
Greenville, SC 29605-4528
Phone (864) 233-6338

Other practice location 1

10 Enterprise Blvd Ste 202
Greenville, SC 29615-3554
Phone (864) 233-6338

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
I20130829000231 SC Practitioner - Dermatology 0446493001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical University of South Carolina College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Dermatology PAGroup PAC ID 8022450659, 9 clinicians

Practice addresses (Care Compare)

920 Woodruff Rd
Greenville, SC 29607-4105
Phone (864) 233-6338

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision37
Removal of skin lesions1854
Skin biopsy263

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35440SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Dermatology PA Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Carolina Dermatology of Greenville, PA Dermatology Past Accepting new patients

Locations

10 Enterprise Blvd
Ste 202
Greenville, SC 29615
Phone (864) 233-6338

5 Stevens St
Ste 300
Greenville, SC 29605
Phone (864) 233-6338

920 Woodruff Rd
Greenville, SC 29607
Phone (864) 233-6332

Interoperability endpoints

  • Direct secure messaging: richard.jamison.1@17577.direct.athenahealth.com

Organizations & group practices 2

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1669609665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STEVENS ST STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054528",
            "telephone_number": "864-233-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STEVENS ST STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054528",
            "telephone_number": "864-233-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Enterprise Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296153554",
            "country_code": "US",
            "telephone_number": "864-233-6338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "RICHARD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "35440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.