DR. LEE SMITH CARSON (NPI# 1649248576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649248576 |
| Entity Type | Individual |
| Full Name | DR. LEE SMITH CARSON |
| Other Name | MRS. LEE SMITH |
| Credential | M.D. |
| Practice Address |
220 Graces Way Columbia SC 29229-1613 |
| Practice Telephone | 8037364560 |
| Practice Fax Number | 8037441217 |
| Mailing Telephone | 8037364560 |
| Mailing Fax Number | 8037441217 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2014-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
22975 | SC | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 22975 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE GROUP PIN FOR NE DERMATOLOGY | 8616 | 01 |
| SC | T70900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790839595 | Lee Fulton Carson | Counselor | 1201 Chestnut St, 2nd Floor, Philadelphia, PA 19107-4123 | 2007-01-22 |
| Street Address |
220 GRACES WAY |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29229-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013430420 | Taylor C Dieter | Surgery | 220 Graces Way, Columbia, SC 29229-1613 | 2017-07-18 |
| 1386084655 | Jessica Faye Hall | Physician Assistant | 220 Graces Way, Columbia, SC 29229-1613 | 2013-07-01 |
| 1821432899 | Devon Elizabeth Driver | Nurse Practitioner | 220 Graces Way, Columbia, SC 29229-1613 | 2013-04-22 |
| 1477784833 | Carrie Powers Zipperer | Physician Assistant | 220 Graces Way, Columbia, SC 29229-1613 | 2009-08-04 |
| 1154422558 | Northeast Dermatology, Pa | Dermatology | 220 Graces Way, Columbia, SC 29229 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
| 1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
| 1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
| 1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
| 1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
| 1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
| 1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
| 1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
| 1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
| 1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
| Find all providers in zip 29229 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821205097 | Beaufort Dermatology PC | Dermatology | 1096 Ribaut Road, Beaufort, SC 29902 | 2007-05-17 |
| 1669818589 | Colleen Helen Cotton | Dermatology | 171 Ashley Ave, Charleston, SC 29425-0100 | 2013-05-18 |
| 1861596009 | Christine T Chiaviello | Dermatology | 1096 Ribaut Rd, Beaufort, SC 29902 | 2006-09-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.