Active NPI
John Plante, MD, MSCR
- Dermatology Physician
- Travelers Rest, SC
National Provider Identifier
1124694500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 86169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| BP10080923 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology of South Carolina LLC | Dermatology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Internal Medicine | Past | 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.
-
- Dermatology Physician
- Greenville, SC
- NPI 1861565996
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.