Individual provider Active NPI

John B Korman, M.D.

  • Dermatology Physician
  • Greer, SC
National Provider Identifier
1306166871
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
36633 Issued in SC
Practice address
310 The Pkwy
Greer, SC 29650-4569
Phone
(864) 877-0776
Fax
(864) 877-0778
NPI assigned
Jun 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L-243930 MA
Dermatology Physician 207N00000X 36633 SC Primary

Addresses

Primary practice location

310 The Pkwy
Greer, SC 29650-4569

Mailing address

310 The Pkwy
Greer, SC 29650-4569
Phone (864) 877-0776

Other identifiers 2

IdentifierTypeStateIssuer
P01442613OtherSCRAILROAD MEDICARE
3366339MedicaidSC

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
I20140905001177 SC Practitioner - Dermatology 6800053158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Dermatology PAGroup PAC ID 9537457262, 3 clinicians

Practice addresses (Care Compare)

310 The Pkwy
Greer, SC 29650-4569
Phone (864) 877-0776

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision31
Removal of skin lesions2135
Skin biopsy404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-243930MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Dermatology PA Dermatology CurrentSince Oct 1, 2016 Accepting new patients

Locations

310 The Pkwy
Greer, SC 29650
Phone (864) 877-0776

420 The Pkwy
Ste M
Greer, SC 29650
Phone (864) 244-3474

Organizations & group practices 1

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": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1306166871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 THE PKWY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504569",
            "telephone_number": "864-877-0776",
            "fax_number": "864-877-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 THE PKWY",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504569",
            "telephone_number": "864-877-0776",
            "fax_number": "864-877-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORMAN",
        "first_name": "JOHN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-08",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "L-243930",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "36633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01442613",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3366339",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.