Individual provider Active NPI

John Plante, MD, MSCR

  • Dermatology Physician
  • Travelers Rest, SC
National Provider Identifier
1124694500
Registry record updated Jun 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
86169 Issued in SC
Practice address
569 Roe Center CT Ste 200
Travelers Rest, SC 29690-1998
Phone
(864) 230-6092
NPI assigned
May 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 86169 SC Primary

Addresses

Primary practice location

569 Roe Center CT Ste 200
Travelers Rest, SC 29690-1998

Mailing address

226 Stone River Way
Taylors, SC 29687-5430
Phone (864) 230-6092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107001416 SC Practitioner - Dermatology 8921402389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Carolina School of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7300 Ranch Rd
2222 Suite 200
Austin, TX 78730

7300 Ranch Rd 2222 BLDG 1
Suite 200
Austin, TX 78730-3255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10080923TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of South Carolina LLC Dermatology CurrentSince Dec 1, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine PastSince Jul 1, 2024 Accepting new patients

Locations

28 Medical Ridge Dr
Greenville, SC 29605
Phone (864) 271-7440

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1124694500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 STONE RIVER WAY",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296875430",
            "telephone_number": "864-230-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 ROE CENTER CT STE 200",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901998",
            "telephone_number": "864-230-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANTE",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD, MSCR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "86169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

Verify at the official NPI Registry.