Lowcountry Dermatology Associates

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

22104 Issued in SC

Legal business name

LOWCOUNTRY DERMATOLOGY ASSOCIATES

Practice address

8 Farmfield Ave
Suite D
Charleston, SC 29407-7779

Phone

(843) 556-7251

Fax

(843) 556-4002

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra N Hannegan, MDNPI 1710076294

Title

Owner

Phone

(843) 556-7251

Specialties & licenses 1

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 4

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

• Sandra Nash Hannegan, MD

  • Specialist
  • Charleston, SC
  • NPI 1710076294
  Medicare reassignment Care Compare group NPD Authorized official
• Carrie Powers Zipperer, PA

  • Physician Assistant
  • Columbia, SC
  • NPI 1477784833
  Medicare reassignment Care Compare group
• Cynthia Irby Wilson, M.D.

  • Dermatology Physician
  • Charleston, SC
  • NPI 1003077363
  Medicare reassignment NPD
• Scott E Crater, MD

  • Specialist
  • Fort Myers, FL
  • NPI 1992894414
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1861518441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FARMFIELD AVE",
            "address_2": "SUITE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077779",
            "telephone_number": "843-556-7251",
            "fax_number": "843-556-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FARMFIELD AVE",
            "address_2": "SUITE D",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077779",
            "telephone_number": "843-556-7251",
            "fax_number": "843-556-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY DERMATOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "HANNEGAN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-556-7251",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "SC",
            "license": "22104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lowcountry Behavioral Pediatrics, LLC
• Lowcountry Behavioral Services
• Lowcountry Bridges, LLC
• Lowcountry Children'S Surgery Center, LLC
• Lowcountry Dental Arts, LLC
• Lowcountry Developmental Therapy
• Lowcountry Endocrine & Diabetes Associates, PA
• Lowcountry Equine-Assisted Psychotherapy
• Lowcountry Hearing Healthcare LLC
• Lowcountry Hematology & Oncology, P.a.

• 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 Mar 7, 2017; 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.