Kamaria Nicole Nelson, MD is a medicare enrolled "Dermatology" physician in Conway, South Carolina. She went to George Washington University School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Southern Dermatology Medical Llc and her current practice location is
834 Farrar Dr, Conway, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 839-4142.
Kamaria Nicole Nelson is licensed to practice in South Carolina (license number 93323) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952836165.
Physician's Profile
| Full Name | Kamaria Nicole Nelson |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 8 Years |
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| Location | 834 Farrar Dr, Conway, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kamaria Nicole Nelson attended and graduated from George Washington University School Of Medicine in 2017
NPI Data:
- NPI Number: 1952836165
- Provider Enumeration Date: 04/25/2017
- Last Update Date: 09/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153851258
- Enrollment ID: I20250204003541
Medical Identifiers
Medical identifiers for Kamaria Nicole Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952836165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 93323 (South Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | 100937 (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southern Dermatology Medical Llc | 0244648186 | 5 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kamaria Nicole Nelson allows following entities to bill medicare on her behalf.
| Entity Name | Southern Dermatology Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265024186 PECOS PAC ID: 0244648186 Enrollment ID: O20240807000458 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kamaria Nicole Nelson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kamaria Nicole Nelson, MD 834 Farrar Dr, Conway, SC 29526-8747 Ph: () - | Kamaria Nicole Nelson, MD 834 Farrar Dr, Conway, SC 29526-8747 Ph: (843) 839-4142 |
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