Epiphany Dermatology of South Carolina LLC
NPI 1861565996ActiveOrganization· Dermatology· Greenville, SC
Dermatology in Greenville, South Carolina, registered in NPPES in November 2006. The authorized official on file is Gheorghe Pusta, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861565996 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 16, 2006 |
| Last updated in NPPES | Jun 2, 2026 |
| Certified by provider | Jun 2, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Specialist | 174400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (SC) |
|---|
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