Dermatology House Calls LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DERMATOLOGY HOUSE CALLS LLC

Practice address

821 N Main St Ste 12
Anderson, SC 29621-5544

Phone

(864) 365-6405

Fax

(833) 471-5951

NPI assigned

Feb 9, 2023

Last updated

Dec 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Haynie Fant Jr.

Title

Practice Manager

Phone

(864) 365-6291

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allie Vickery Fant, APRN

  • Family Nurse Practitioner
  • Anderson, SC
  • NPI 1760076780
  Medicare reassignment Care Compare group NPD
• Sarah A Harris, AGAC NP-C

  • Acute Care Nurse Practitioner
  • Greenville, SC
  • NPI 1720604366
  Medicare reassignment Care Compare group NPD
• Toni Nmi Manos, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Folly Beach, SC
  • NPI 1508158296
  Medicare reassignment NPD

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1609573757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N MAIN ST STE 12",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215544",
            "telephone_number": "864-365-6405",
            "fax_number": "833-471-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N MAIN ST STE 12",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215544",
            "telephone_number": "864-365-6405",
            "fax_number": "833-471-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY HOUSE CALLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "FANT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HAYNIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "864-365-6291",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PG1499",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Depalma, RPH
• Department of Mental Health
• Benjamin Deppen
• Dermatech
• Dermatology Clinic, PA
• Treca Deshields
• Dana Courtney Despradel, LISW CP
• Developmental Center for Exceptional Children
• Cynthia Morris Devine
• Laurel Devita

• Dermatology Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.