Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Dermatology, PA

Organization Dermatology Physician · NPI 1154422558

Northeast Dermatology, PA is a Dermatology Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

220 Graces Way
Columbia, SC 29229
Phone: (803) 736-4560
Fax: (803) 744-1217
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 22975 (SC)

Record details

NPI number1154422558
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lee Carson — President · (803) 736-4560
NPI enumeratedSeptember 26, 2006
Last updated in NPPESMarch 7, 2023
Mailing address220 Graces Way, Columbia, SC 29229

Other providers in Columbia