Organization Active NPI

North Greenville University

Doing business as North Greenville University Athletics

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Tigerville, SC
National Provider Identifier
1003404450
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
NORTH GREENVILLE UNIVERSITY
Doing business as
North Greenville University Athletics
Practice address
7801 N Tigerville Rd
Tigerville, SC 29688-9700
Phone
(864) 867-4677
NPI assigned
Dec 31, 2020
Last updated
Dec 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
James Anderson, ATCNPI 1588010540
Title
Director of Sports Medicine
Phone
(864) 867-4677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X Primary

Addresses

Primary practice location

7801 N Tigerville Rd
Tigerville, SC 29688-9700

Mailing address

7801 N Tigerville Rd
Tigerville, SC 29688-9700
Phone (864) 867-4677

Other names 1

  • North Greenville University Athletics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2205894North Greenville University7801 N Tigerville Rd (Athletics), Tigerville, SC 29688Certificate of waiverDec 15, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1003404450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 N TIGERVILLE RD",
            "city": "TIGERVILLE",
            "state": "SC",
            "postal_code": "296889700",
            "telephone_number": "864-867-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 N TIGERVILLE RD",
            "city": "TIGERVILLE",
            "state": "SC",
            "postal_code": "296889700",
            "telephone_number": "864-867-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GREENVILLE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF SPORTS MEDICINE",
        "authorized_official_telephone_number": "864-867-4677",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Greenville University Athletics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tigerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.