Organization Active NPI

Heritage Dermatology PC

  • Dermatology Physician
  • Beaufort, SC
National Provider Identifier
1982630125
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
HERITAGE DERMATOLOGY PC
Practice address
242 Ladys Island Dr
Beaufort, SC 29907-1728
Phone
(843) 525-9277
Fax
(843) 525-9150
NPI assigned
Jun 22, 2006
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
David Scott Carter
Title
Credentialing Manager
Phone
(630) 590-9250

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary
MOHS-Micrographic Surgery Physician 207ND0101X
Procedural Dermatology Physician 207NS0135X

Addresses

Primary practice location

242 Ladys Island Dr
Beaufort, SC 29907-1728

Mailing address

3901 Main St Ste D
Hilton Head Island, SC 29926-4613
Phone (843) 689-5259

Other names 1

  • Dermatology Associates of the Lowcountry Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040202001116 SC Part B Supplier - Clinic/Group Practice 8628961943 Receives reassigned benefits from 7 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Beaufort, SC; Bluffton, SC; Hilton Head, SC

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dermatology Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3901 Main St
Ste D
Hilton Head Island, SC 29926
Phone (843) 242-7223

40 Okatie Center Blvd S
Okatie, SC 29909
Phone (843) 705-8804

108 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-6945

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1982630125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MAIN ST STE D",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299264613",
            "telephone_number": "843-689-5259",
            "fax_number": "843-689-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 LADYS ISLAND DR",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299071728",
            "telephone_number": "843-525-9277",
            "fax_number": "843-525-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "630-590-9250"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dermatology Associates of the Lowcountry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.