EPIPHANY DERMATOLOGY OF SOUTH CAROLINA LLC
NPI 1861565996
Dermatology in Greenville, SC

Q: What is Epiphany Dermatology Of South Carolina LLC's specialty?

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

Active since November 16, 2006CLIA 42D0694869 · Certificate of Compliance

28 MEDICAL RIDGE DR, GREENVILLE, SC 29605(864) 271-7440(864) 679-6132 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Apr 10, 2023, Feb 14, 2023 and 1 more (4 updates tracked since 2023).

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About Epiphany Dermatology Of South Carolina Llc NPPES

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

EPIPHANY DERMATOLOGY OF SOUTH CAROLINA LLC (NPI 1861565996) is a healthcare organization registered as a dermatology in Greenville, South Carolina and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through November 1, 2026 and lists Gheorghe Pusta, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1861565996

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameEPIPHANY DERMATOLOGY OF SOUTH CAROLINA LLC

Location Address28 MEDICAL RIDGE DRGreenville, SC 29605-4267

Mailing Address7300 Ranch Road 2222, Bldg 1, Ste 200Austin, TX 78730-3255 · (512) 628-0465 · Fax (512) 233-2711

Phone(864) 271-7440

Fax(864) 679-6132

Organization SubpartNo

Authorized OfficialGheorghe PustaExecutive Director · (512) 628-0465

Enumeration DateNovember 16, 2006

Last NPPES UpdateJune 2, 20264 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1861565996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedSpecialistTaxonomy 174400000X

28 MEDICAL RIDGE DR, Greenville, SC 29605

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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 Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 of Compliance 42D0694869

Epiphany Dermatology Of South Carolina , LLC · Greenville, SC

Active · expires Nov 1, 2026

CLIA Number42D0694869

Laboratory TypePhysician Office

Certificate Effective DateNovember 2, 2024

Certificate Expiration DateNovember 1, 2026

Laboratory DirectorDr. Joseph C. Catanzaro

Laboratory Phone(864) 271-7440

Laboratory LocationEpiphany Dermatology Of South Carolina , LLC28 Medical Ridge Drive, Greenville, SC 29605

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON PAPPAS PA

Physician Assistant (Medical)