Lee S Carson
NORTHEAST DERMATOLOGY PA


Address: 220 Graces Way, Columbia, SC 29229-1613
Phone: 8037364560

Lee S Carson (NPI# 1649248576, PAC ID# 6709861263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1649248576
PAC ID by PECOS 6709861263
Professional Enrollment ID I20040621000489
Full Name Lee S Carson
Organization Legal Name NORTHEAST DERMATOLOGY PA
Address 220 Graces Way
Columbia
SC 29229-1613
Phone Number 8037364560
Gender F
Credential MD
Medical School UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty DERMATOLOGY
Group Practice PAC ID 9830190750
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
420048 KERSHAWHEALTH
420073 LEXINGTON MEDICAL CENTER

Other Locations

Address Phone Organization
220 Graces Way, Columbia, SC 29229-1613 8037364560 NORTHEAST DERMATOLOGY PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name NORTHEAST DERMATOLOGY PA
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Taylor C Dieter Nurse Practitioner Northeast Dermatology Pa 220 Graces Way, Columbia, SC 29229-1613
Jessica Faye Hall Physician Assistant Northeast Dermatology Pa 220 Graces Way, Columbia, SC 29229-1613
Devon Elizabeth Driver Nurse Practitioner Northeast Dermatology Pa 220 Graces Way, Columbia, SC 29229-1613

Office Location

Street Address 220 GRACES WAY
City COLUMBIA
State SC
Zip 29229-1613

Physicians in the same location

Name Specialty Organization Address
Taylor C Dieter Nurse Practitioner Northeast Dermatology Pa 220 Graces Way, Columbia, SC 29229-1613
Jessica Faye Hall Physician Assistant Northeast Dermatology Pa 220 Graces Way, Columbia, SC 29229-1613
Devon Elizabeth Driver Nurse Practitioner Northeast Dermatology Pa 220 Graces Way, Columbia, SC 29229-1613

Physicians in the same zip code

Name Specialty Organization Address
James A Eddis Iii Optometry 10136 Two Notch Rd, Suite 107d, Columbia, SC 29229-4206
Tameka Irvin Certified Clinical Nurse Specialist (cns) Medcare Express North Charleston LLC 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399
Jeffrey S Anderson Emergency Medicine Medcare Express North Charleston LLC 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399
Virginia L Mcclain Family Medicine Medcare Express North Charleston LLC 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399
Madhuri V Juvekar Family Practice Medcare Express North Charleston LLC 10136 Two Notch Rd, Suite 104, Columbia, SC 29229-4399
Jean J Champion-martin Optometry 332 Long Pointe Ln, Columbia, SC 29229-5508
Sarah A Riley Nurse Practitioner Minuteclinic Diagnostic South Carolina LLC 121 Clemson Rd, Columbia, SC 29229-6545
Keyonta M Crawford Nurse Practitioner Minuteclinic Diagnostic South Carolina LLC 121 Clemson Rd, Columbia, SC 29229-6545
Oliver P Harden Internal Medicine 61 Shoreline Dr, Columbia, SC 29229-7300
William Eugene Phillips Diagnostic Radiology Oroville Hospital 34 Shoreline Dr, Columbia, SC 29229-7302
Find all physicians in zip 29229

Competitor

Search similar physicians

City COLUMBIA
Zip Code 29229
Specialty DERMATOLOGY
City + Specialty COLUMBIA + DERMATOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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