Individual provider Active NPI

Gina Renee Paponetti, FNP

  • Family Nurse Practitioner
  • Travelers Rest, SC
National Provider Identifier
1003674177
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28491 Issued in SC
Practice address
807 N Main St
Travelers Rest, SC 29690-1551
Phone
(864) 455-9150
Fax
(864) 455-9236
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28491 SC Primary

Addresses

Primary practice location

807 N Main St
Travelers Rest, SC 29690-1551

Mailing address

300 E McBee Ave Ste 300
Greenville, SC 29601-2899
Phone (864) 522-8611

Other practice location 1

545 W Butler Rd
Greenville, SC 29607-4833
Phone (864) 299-1990

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422002586 SC Practitioner - Nurse Practitioner 2961841002 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Greenville Specialty Care LLCGroup PAC ID 1850779976, 290 clinicians
Prisma Health-UpstateGroup PAC ID 5698063162, shared by 28 NPIs, 8 clinicians

Practice addresses (Care Compare)

2 Maple Tree CT
Suite B
Greenville, SC 29615-4069
Phone (864) 516-1190

317 Saint Francis Dr
Suite 220
Greenville, SC 29601-3976
Phone (864) 255-1901

807 N Main St
Travelers Rest, SC 29690-1551
Phone (864) 834-5132

Hospital & facility affiliations

  • Prisma Health Hillcrest Hospital Hospital, Simpsonville, SC, CCN 420037
  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28491SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Medical Associates, PA CurrentSince Mar 12, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Feb 24, 2025 Accepting new patients
Prisma Health University Medical Group CurrentSince Feb 24, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Nov 9, 2025 Accepting new patients
Bon Secours Medical Group Greenville Specialty Care LLC CurrentSince Nov 9, 2025 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

545 W Butler Rd
Greenville, SC 29607
Phone (864) 236-9555

300 E McBee Ave
Ste 300
Greenville, SC 29601

2 Maple Tree Ct
Ste A
Greenville, SC 29615
Phone (864) 234-7900

317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: gpaponetti3075969@direct.bsmhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1003674177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE STE 300",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012899",
            "telephone_number": "864-522-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N MAIN ST",
            "city": "TRAVELERS REST",
            "state": "SC",
            "postal_code": "296901551",
            "telephone_number": "864-455-9150",
            "fax_number": "864-455-9236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 W Butler Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074833",
            "country_code": "US",
            "telephone_number": "864-299-1990",
            "fax_number": "864-299-9123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPONETTI",
        "first_name": "GINA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travelers Rest, SC

Sources for this page

Verify at the official NPI Registry.