Mt Pleasant Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

MT PLEASANT DERMATOLOGY

Practice address

570 Long Point Road
Suite 200
Mt. Pleasant, SC 29464

Phone

(843) 881-0320

Fax

(843) 881-5453

NPI assigned

May 11, 2006

Last updated

Aug 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tonya M Roper

Title

Credentialing Manager

Phone

(843) 936-7189

Specialties & licenses 2

Addresses

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

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caroline Savoie Aguilar, MD

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1518548007
  Medicare reassignment Care Compare group NPD
• James Harrison Phillips, MD

  • Dermatopathology (Pathology) Physician
  • Mount Pleasant, SC
  • NPI 1972570372
  Medicare reassignment Care Compare group NPD
• Sarah-Louise Phillips

  • Nurse Practitioner
  • Mount Pleasant, SC
  • NPI 1992399174
  Medicare reassignment Care Compare group NPD
• Mark Joseph Siegel, M.D.

  • Dermatology Physician
  • Charleston, SC
  • NPI 1437536463
  Medicare reassignment Care Compare group NPD
• Stephanie E. Smith-Phillips, M

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1518922509

  Specialist

  Medicare reassignment Care Compare group NPD
• Jennifer Anne Steele, MD

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1992753123

  Specialist

  Medicare reassignment Care Compare group NPD
• Caroline Felder Wooten, M.D.

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1619139615
  Medicare reassignment Care Compare group NPD
• Sam Stafford III, MD

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1164480166

  Specialist

  Medicare reassignment NPD
• Kelly Nicole Brothers, FNP

  • Family Nurse Practitioner
  • Charleston, SC
  • NPI 1679149470
  NPD
• Michele A Mittelbronn, M.D.

  • Dermatology Physician
  • Mount Pleasant, SC
  • NPI 1790736312
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1821048828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 LONG POINT ROAD",
            "address_2": "SUITE 200",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-881-0320",
            "fax_number": "843-881-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LONG POINT ROAD",
            "address_2": "SUITE 200",
            "city": "MT. PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-881-0320",
            "fax_number": "843-881-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT PLEASANT DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "ROPER",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "843-936-7189",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Movement Matters Physical Therapy, LLC
• Jennette Marie Mowry, PT
• MSJ Consulting (Source Orthopedic Solutions)
• MSJ Consulting LLC (Source Orthopedic Solutions)
• Mt Pleasant Community Healthcare LLC (Cooper River Assisted Living)
• Mt Pleasant Endodontics LLC
• Mt Pleasant Eye Surgeons LLC
• Mt Pleasant Family Health Group
• Mt Pleasant Family Practice Associates
• Mt Pleasant Family Practice,PA

• Dermatology Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 12, 2025; 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.