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

Individual provider Medical Physician Assistant · NPI 1114594124

Ryan Trout, PA-C is a Physician Assistant in Mount Pleasant, South Carolina. Qualified in 2021, 5 years ago. Practices with Epiphany Dermatology of South Carolina LLC, an 18-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
5
Licensed in
SC
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

612 Seacoast Pkwy
Mount Pleasant, SC 29464-8247
Phone: (843) 881-4440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X (SC)

Record details

NPI number1114594124
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESJune 8, 2021
Certification dateMay 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Epiphany Dermatology Of South Carolina Llc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mount Pleasant