Active NPI
Skin Fix SC LLC
- Dermatology Physician
- Aiken, SC
National Provider Identifier
1801540414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- SKIN FIX SC LLC
- Practice address
- 1520 Two Notch Rd SE
Aiken, SC 29803-5551 - Phone
- (803) 649-3909
- NPI assigned
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Caralee Knippel
- Title
- Office Manager
- Phone
- (803) 649-3909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1520 Two Notch Rd SE
Aiken, SC 29803-5551
Mailing address
1520 Two Notch Rd SE
Aiken, SC 29803-5551
Phone (803) 649-3909
Other names 1
- AIKEN DERMATOLOGY AND SKIN CANCER CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220420002803 | SC | Part B Supplier - Clinic/Group Practice | 2163819137 |
Receives reassigned benefits from 7 practitioners Practice locations: Aiken, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2256364 | Skin Fix SC LLC, Dba Aiken Dermatology & | Provider-performed microscopy | Mar 22, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1801540414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 TWO NOTCH RD SE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035551",
"telephone_number": "803-649-3909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 TWO NOTCH RD SE",
"city": "AIKEN",
"state": "SC",
"postal_code": "298035551",
"telephone_number": "803-649-3909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKIN FIX SC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "KNIPPEL",
"authorized_official_first_name": "CARALEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "803-649-3909",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AIKEN DERMATOLOGY AND SKIN CANCER CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.