Individual provider Active NPI

Daniel C Grove, M.D.

  • Dermatology Physician
  • Charleston, SC
National Provider Identifier
1962851428
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
93253 Issued in SC
Practice address
2180 Henry Tecklenburg Dr
Charleston, SC 29414-5798
Phone
(843) 556-8886
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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 93253 SC Primary

Addresses

Primary practice location

2180 Henry Tecklenburg Dr
Charleston, SC 29414-5798

Mailing address

7300 Ranch Road 2222, BLDG 1, Ste 200
Austin, TX 78730-3255
Phone (512) 628-0465

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
I20241120002703 SC Practitioner - Dermatology 1557652575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of Ny Upstate Medical University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of South Carolina LLCGroup PAC ID 8527049865, 18 clinicians

Practice addresses (Care Compare)

1364 Ashley River Rd
Charleston, SC 29407-5347
Phone (843) 556-8886

208 Brighton Park Blvd
Summerville, SC 29486-3000
Phone (843) 556-8886

2180 Henry Tecklenburg Dr
Charleston, SC 29414-5798
Phone (864) 627-8911

28 Medical Ridge Dr
Greenville, SC 29605-4267
Phone (864) 271-7440

Merit-based Incentive Payment System (MIPS)

Final score
90.27 of 100Reported as group
Quality
90.92
Promoting interoperability
100
Improvement activities
40
Cost
76.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions144
Skin biopsy74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93253SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Laser Center of Charleston PA Dermatology CurrentSince Jan 5, 2025 Accepting new patients
Epiphany Dermatology of South Carolina LLC Dermatology CurrentSince Oct 1, 2024 Accepting new patients
Akron Children'S Hospital Current Accepting new patients

Locations

2180 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 556-8886

1364 Ashley River Rd
Charleston, SC 29407
Phone (843) 556-8886

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

208 Brighton Park Blvd
Summerville, SC 29486
Phone (843) 556-8886

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: dgrove111566@direct.chmca.org
  • Direct secure messaging: dan.grove@epiphanyderm.emadirect.md

Organizations & group practices 3

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": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1962851428",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 HENRY TECKLENBURG DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145798",
            "telephone_number": "843-556-8886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "93253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.