Active NPI
Laura Michelle Dacks, M.D.
- Surgery Physician
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 51590
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 823 |
| Removal of skin lesions | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51590 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healogics Specialty Physicians of South Carolina, LLC | Current | Accepting new patients | |
| Walterboro Community Hospital, Inc. | Past | 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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Myrtle Beach, SC
- NPI 1033531850
-
- Family Medicine Physician
- Miramar, FL
- NPI 1063848968
SC
-
- Clinic/Center
- Spartanburg, SC
- NPI 1023677945
-
- Psychiatric Hospital Unit
- Walterboro, SC
- NPI 1376829952
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; 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.