The Dermatology Group LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

THE DERMATOLOGY GROUP LLC

Practice address

1709 Barnwell St
Columbia, SC 29201-2641

Phone

(803) 254-3376

Fax

(803) 254-3883

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

Lee T Jordan, MDNPI 1851378194

Title

Partner

Phone

(803) 254-3376

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 3

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

• Lee T Jordan, MD

  • Dermatology Physician
  • Camden, SC
  • NPI 1851378194
  Medicare reassignment Care Compare group NPD Authorized official
• Dina V Hunter, MD

  • Dermatology Physician
  • Columbia, SC
  • NPI 1285611525
  Medicare reassignment Care Compare group NPD
• David Ullman, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Columbia, SC
  • NPI 1013397835
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1962454504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 BARNWELL STREET",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012641",
            "telephone_number": "803-254-3376",
            "fax_number": "803-254-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 BARNWELL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012641",
            "telephone_number": "803-254-3376",
            "fax_number": "803-254-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DERMATOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "803-254-3376",
        "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": []
}

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• Dermatology Physician in Columbia, SC
• Providers in Columbia, 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 26, 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.