Individual provider Active NPI

Laura Michelle Dacks, M.D.

  • Surgery Physician
  • Summerville, SC
National Provider Identifier
1730376294
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
51590 Issued in SC
Practice address
266 Hundred Oaks Pkwy
Summerville, SC 29483-8192
Phone
(423) 741-6141
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 13871 NV
Surgery Physician 208600000X 51590 SC Primary

Addresses

Primary practice location

266 Hundred Oaks Pkwy
Summerville, SC 29483-8192

Mailing address

266 Hundred Oaks Pkwy
Summerville, SC 29483-8192
Phone (423) 741-6141

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
I20180119002007 SC Practitioner - General Surgery 2668642133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Florida College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healogics Specialty Physicians of South Carolina LLCGroup PAC ID 8325261209, 17 clinicians
Vohra Post Acute Care Physicians of the East PAGroup PAC ID 5496981243, 56 clinicians

Practice addresses (Care Compare)

136 Medical Park Dr
Walterboro, SC 29488-5719
Phone (843) 782-4735

59 Blackstock Rd
Inman, SC 29349-1827
Phone (864) 472-2028

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue823
Removal of skin lesions59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51590SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of South Carolina, LLC CurrentSince Mar 2, 2026 Accepting new patients
Walterboro Community Hospital, Inc. PastSince Mar 2, 2026 Accepting new patients

Locations

136 Medical Park Dr
Walterboro, SC 29488
Phone (843) 539-2273

Organizations & group practices 4

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1730376294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HUNDRED OAKS PKWY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838192",
            "telephone_number": "423-741-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 HUNDRED OAKS PKWY",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294838192",
            "telephone_number": "423-741-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACKS",
        "first_name": "LAURA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "13871",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "51590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.