Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Epiphany Dermatology of South Carolina LLC

Organization Specialist · NPI 1861565996

Epiphany Dermatology of South Carolina LLC is a Specialist in Greenville, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

28 Medical Ridge Dr
Greenville, SC 29605-4267
Phone: (864) 271-7440
Fax: (864) 679-6132
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Specialist Taxonomy 174400000X

Record details

NPI number1861565996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gheorghe Pusta — Executive Director · (512) 628-0465
NPI enumeratedNovember 16, 2006
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address7300 Ranch Road 2222, Bldg 1, Ste 200, Austin, TX 78730-3255

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