Perry Dermatology and Dermatopathology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

PERRY DERMATOLOGY AND DERMATOPATHOLOGY

Practice address

48 Folly Road Blvd
Charleston, SC 29407-7507

Phone

(843) 769-2100

NPI assigned

Feb 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. David Mark Perry, MDNPI 1770996621

Title

Owner

Phone

(843) 697-6649

Specialties & licenses 1

Addresses

Other names 1

• Perry Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Mark Perry, M.D.

  • Dermatology Physician
  • Charleston, SC
  • NPI 1770996621
  Medicare reassignment Care Compare group NPD Authorized official
• Peyton E Goodie, MD

  • Dermatology Physician
  • Charleston, SC
  • NPI 1780113829
  Medicare reassignment Care Compare group NPD
• Jacqueline Eckert Nichols, PA-C

  • Surgical Physician Assistant
  • Atlanta, GA
  • NPI 1689971079

  SC

  Medicare reassignment Care Compare group
• Lindsey Bressler, MD

  • Dermatology Physician
  • Charleston, SC
  • NPI 1790214682
  NPD
• Charmian Webb Bixler, MSPAS, PA-C

  • Physician Assistant
  • Sullivans Island, SC
  • NPI 1124483722
  NPD (past)
• Teresa Lynn Herring, P.A.

  • Physician Assistant
  • Charleston, SC
  • NPI 1861440323
  NPD (past)
• Joseph Myers Jr., M.D.

  • Dermatology Physician
  • Beaufort, SC
  • NPI 1851529994
  NPD (past)
• James G Simpson

  • Dermatology Physician
  • Charleston, SC
  • NPI 1255393484
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1740746429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 FOLLY ROAD BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077507",
            "telephone_number": "843-769-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 FOLLY ROAD BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077507",
            "telephone_number": "843-769-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY DERMATOLOGY AND DERMATOPATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-697-6649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perry Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Pero, D.C.
• Pamela Denise Perrella, NP
• Merilee Williams Perrine, MA LPC CAC II
• Meagan Perro
• Corey Richard Perrotte, PHARMD
• Amy Marie Perry, FNP
• Chelsey Perry, ATC
• David Mark Perry, M.D.
• Kelly Perry, MSP CCC SLP
• Kyler Perry, DO

• Dermatology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.