North Greenville University

Organization Active NPI Sports Medicine (Physical Medicine & Rehabilitation) Physician · Tigerville, SC

NPI 1003404450 · NPPES record last updated Dec 31, 2020

Key facts

NPI: 1003404450
Entity type: Organization (NPI type 2)
Primary specialty: Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X
Legal business name: NORTH GREENVILLE UNIVERSITY
Practice address: 7801 N Tigerville Rd
Tigerville, SC 29688-9700
Phone: (864) 867-4677
NPI assigned: Dec 31, 2020
Organization subpart: No

Authorized official

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

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

James Anderson, ATC Sports Medicine (Neuromusculoskeletal Medicine) Physician · Tigerville, SC · NPI 1588010540

NPD Authorized official

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
42D2205894	North Greenville University 7801 N Tigerville Rd (Athletics), Tigerville, SC 29688	Certificate of waiver	Dec 15, 2026

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	2081S0010X			Yes

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

North Greenville University Athletics Doing business as

Other providers in Tigerville, SC

All providers in Tigerville, SC · Sports Medicine (Physical Medicine & Rehabilitation) Physician in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (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.