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UPSTATE DERMATOLOGY PA
NPI 1306399860
Dermatology in Greer, SC

Active since August 01, 2016
310 THE PKWY, GREER, SC 29650(864) 877-0776(864) 877-0778 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Upstate Dermatology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPSTATE DERMATOLOGY PA (NPI 1306399860) is a healthcare organization registered as a dermatology in Greer, South Carolina and active in the NPI registry since August 2016. The organization lists John Korman, Owner, as its authorized official.

NPPES Registry Identity

NPI1306399860
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameUPSTATE DERMATOLOGY PA
Location Address310 THE PKWYGreer, SC 29650-4569
Mailing Address310 The PkwyGreer, SC 29650-4569 · (864) 877-0776 · Fax (864) 877-0778
Phone(864) 877-0776
Fax(864) 877-0778
Organization SubpartNo
Authorized OfficialJohn KormanOwner · (864) 877-0776
Enumeration DateAugust 1, 2016
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1306399860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
310 THE PKWY, Greer, SC 29650
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, InStil Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upstate Dermatology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Upstate Dermatology PA, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Vladislav Abaturov, NP
Nurse Practitioner
NPI 1730574930
310 THE PKWY
Greer, SC 29650
(864) 877-0776
✔ PECOS✔ Accepts MedicareSame address
John Korman, M.D.
Dermatology
NPI 1306166871
310 THE PKWY
Greer, SC 29650
(864) 877-0776
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D2120471

Upstate Dermatology, PA · Greer, SC
Expired · Oct 17, 2026
CLIA Number42D2120471
Laboratory TypePractitioner Other
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorJohn B. Korman
Laboratory Phone(864) 877-0776
Laboratory LocationUpstate Dermatology, PA310 The Parkway, Greer, SC 29650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upstate Dermatology PA's NPI number?

The NPI number for Upstate Dermatology PA is 1306399860. It was assigned to this organization in the NPPES registry on August 1, 2016.

Where is Upstate Dermatology PA located?

Upstate Dermatology PA is located at 310 The Pkwy, Greer, SC 29650. The listed phone number is (864) 877-0776.

What is Upstate Dermatology PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Upstate Dermatology PA enrolled in Medicare?

Yes. Upstate Dermatology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upstate Dermatology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Upstate Dermatology PA, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Upstate Dermatology PA accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and InStil Health list Upstate Dermatology PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Upstate Dermatology PA was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.