Individual provider Active NPI

Davis Copeland Diamond, MD

  • Dermatology Physician
  • Spartanburg, SC
National Provider Identifier
1992332092
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
94051 Issued in SC
Practice address
391 Serpentine Dr Ste 440
Spartanburg, SC 29303-3081
Phone
(864) 410-1973
Fax
(864) 288-2554
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 94051 SC Primary

Addresses

Primary practice location

391 Serpentine Dr Ste 440
Spartanburg, SC 29303-3081

Mailing address

300 Ashby Park LN
Greenville, SC 29607-6903
Phone (864) 288-1154

Other practice location 1

300 Ashby Park Ln
Greenville, SC 29607-6903
Phone (864) 288-1154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250423003682 SC Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 1153744594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Skin Cancer CenterGroup PAC ID 3678570397, 3 clinicians

Practice addresses (Care Compare)

300 Ashby Park LN
Greenville, SC 29607-6903
Phone (864) 288-1154

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision81
Removal of skin lesions1-10
Removal of skin cancer558
Skin biopsy73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Skin Cancer Center CurrentSince May 1, 2025 Accepting new patients

Locations

300 Ashby Park Ln
Greenville, SC 29607
Phone (864) 288-1154

391 Serpentine Dr
Ste 440
Spartanburg, SC 29303
Phone (864) 410-1973

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1992332092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ASHBY PARK LN",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296076903",
            "telephone_number": "864-288-1154",
            "fax_number": "864-288-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SERPENTINE DR STE 440",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033081",
            "telephone_number": "864-410-1973",
            "fax_number": "864-288-2554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Ashby Park Ln",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296076903",
            "country_code": "US",
            "telephone_number": "864-288-1154",
            "fax_number": "864-288-2554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "DAVIS",
        "middle_name": "COPELAND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "94051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.