Epiphany Dermatology of South Carolina LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

EPIPHANY DERMATOLOGY OF SOUTH CAROLINA LLC

Practice address

28 Medical Ridge Dr
Greenville, SC 29605-4267

Phone

(864) 271-7440

Fax

(864) 679-6132

NPI assigned

Nov 16, 2006

Last updated

Jun 2, 2026By 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

Gheorghe Pusta

Title

Executive Director

Phone

(512) 628-0465

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 38

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.

• Benjamin J Barrick, DO

  • Dermatology Physician
  • Greenville, SC
  • NPI 1659718427
  Medicare reassignment Care Compare group NPD
• Matthew Everett Bryan, MD

  • Dermatology Physician
  • Greenville, SC
  • NPI 1255379533
  Medicare reassignment Care Compare group NPD
• Joseph Marshall Catanzaro, MD

  • Specialist
  • Greenville, SC
  • NPI 1437197712
  Medicare reassignment Care Compare group NPD
• Daniel C Grove, M.D.

  • Dermatology Physician
  • Charleston, SC
  • NPI 1962851428
  Medicare reassignment Care Compare group NPD
• Rebecca Holt, APRN

  • Nurse Practitioner
  • Greenville, SC
  • NPI 1619696994
  Medicare reassignment Care Compare group NPD
• Kimberly Maino, MD

  • Dermatology Physician
  • Charleston, SC
  • NPI 1588664130
  Medicare reassignment Care Compare group NPD
• William Justin McCrary, M.D.

  • Dermatology Physician
  • Greenville, SC
  • NPI 1780818930
  Medicare reassignment Care Compare group NPD
• Courtney Lee McFaddin, M.D.

  • Dermatopathology Physician
  • Greenville, SC
  • NPI 1144540428

  Dermatology

  Medicare reassignment Care Compare group NPD
• Emily Suzanne Nyers, MD

  • Dermatology Physician
  • Greenville, SC
  • NPI 1427617950
  Medicare reassignment Care Compare group NPD
• Joel C Phillips, M.D.

  • MOHS-Micrographic Surgery Physician
  • Greenville, SC
  • NPI 1114013570

  Dermatology

  Medicare reassignment Care Compare group NPD
• Todd E Schlesinger, M.D.

  • Dermatology Physician
  • Charleston, SC
  • NPI 1538135280
  Medicare reassignment Care Compare group NPD
• Jaimie Dawn Rodger, D.O.

  • Dermatology Physician
  • Bexley, OH
  • NPI 1881056513

  SC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1861565996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 RANCH ROAD 2222, BLDG 1, STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787303255",
            "telephone_number": "512-628-0465",
            "fax_number": "512-233-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MEDICAL RIDGE DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054267",
            "telephone_number": "864-271-7440",
            "fax_number": "864-679-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY DERMATOLOGY OF SOUTH CAROLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "PUSTA",
        "authorized_official_first_name": "GHEORGHE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "512-628-0465"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie England, O.D.
• Megan Engstrom, LPC
• ENT Clinics of Greenville-the Greenville Sinus Center, PA
• Chukwunyelu Enwezor, M.D.
• Corey Ephrussi, DO
• James Andrew Epling, M.D.
• Christopher Braxton Epps, PHARMD
• Claire Elizabeth Epps, NP
• John Edward Epps, LISW-CP
• Mathew Thomas Epps, MD

• Dermatology Physician in Greenville, SC
• Providers in Greenville, 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 Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.