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

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: October 18, 2026.

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

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 Health, Ambetter of North Carolina and more.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)

Epiphany Dermatology Of South Carolina Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Epiphany Dermatology Of South Carolina LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Dermatology13
Nurse Practitioner1

Clinicians, nearest first (14)

Emily Nyers, MD
Dermatology
NPI 1427617950
28 MEDICAL RIDGE DR
Greenville, SC 29605
(864) 271-7440
✔ PECOS✔ Accepts MedicareSame address
Benjamin Barrick, DO
Dermatology
NPI 1659718427
28 MEDICAL RIDGE DR
Greenville, SC 29605
(864) 271-7440
✔ PECOS✔ Accepts MedicareSame address
Courtney Mcfaddin, M.D.
Dermatology
NPI 1144540428
28 MEDICAL RIDGE DR
Greenville, SC 29605
(864) 271-7440
✔ PECOS✔ Accepts MedicareSame address
Joel Phillips, M.D.
Dermatology
NPI 1114013570
28 MEDICAL RIDGE DR
Greenville, SC 29605
(864) 271-7440
✔ PECOS✔ Accepts MedicareSame address
Matthew Bryan, MD
Dermatology
NPI 1255379533
28 MEDICAL RIDGE DR
Greenville, SC 29605
(864) 271-7440
✔ PECOS✔ Accepts MedicareSame address
Joseph Catanzaro, MD
Dermatology
NPI 1437197712
28 MEDICAL RIDGE DR
Greenville, SC 29605
(864) 271-7440
✔ PECOS✔ Accepts MedicareSame address
William Mccrary, M.D.
Dermatology
NPI 1780818930
28 MEDICAL RIDGE DR
Greenville, SC 29605
(864) 271-7440
✔ PECOS✔ Accepts MedicareSame address
Rebecca Holt, APRN
Nurse Practitioner
NPI 1619696994
103 WADE HAMPTON BLVD
Greenville, SC 29609
(865) 867-1100
✔ PECOS✔ Accepts Medicare3.6 mi
John Plante, MD, MSCR
Dermatology
NPI 1124694500
569 ROE CENTER CT STE 200
Travelers Rest, SC 29690
(864) 230-6092
✔ PECOS✔ Accepts Medicare10 mi
Kehinde Olumesi, M.D.
Dermatology
NPI 1780062661
771 OLD NORCROSS RD STE 260
Lawrenceville, GA 30046
(770) 962-5040
✔ PECOS✔ Accepts Medicare109 mi
Daniel Grove, M.D.
Dermatology
NPI 1962851428
2180 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 556-8886
✔ PECOS✔ Accepts Medicare194 mi
Kimberly Maino, MD
Dermatology
NPI 1588664130
2180 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 556-8886
✔ PECOS✔ Accepts Medicare194 mi
Todd Schlesinger, M.D.
Dermatology
NPI 1538135280
2180 HENRY TECKLENBURG DR
Charleston, SC 29414
(843) 556-8886
✔ PECOS✔ Accepts Medicare194 mi
Jaimie Rodger, D.O.
Dermatology
NPI 1881056513
2359 E MAIN ST
Bexley, OH 43209
(614) 947-1716
✔ PECOS✔ Accepts Medicare356 mi

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 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.

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 Epiphany Dermatology Of South Carolina LLC's NPI number?

The NPI number for Epiphany Dermatology Of South Carolina LLC is 1861565996. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Epiphany Dermatology Of South Carolina LLC located?

Epiphany Dermatology Of South Carolina LLC is located at 28 Medical Ridge Dr, Greenville, SC 29605. The listed phone number is (864) 271-7440.

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

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

Is Epiphany Dermatology Of South Carolina LLC enrolled in Medicare?

Yes. Epiphany Dermatology Of South Carolina LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Epiphany Dermatology Of South Carolina LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 2 Medicare specialties reassign their Medicare billing to Epiphany Dermatology Of South Carolina LLC. 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. The largest specialties are Dermatology (13) and Nurse Practitioner (1). Of these, 7 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Epiphany Dermatology Of South Carolina LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 42D0694869) is associated with this NPI, valid through November 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Epiphany Dermatology Of South Carolina LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer list Epiphany Dermatology Of South Carolina LLC 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 Epiphany Dermatology Of South Carolina LLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.