NPIMap

Individual provider Active NPI

Matthew Ryan Courter, PA

  • Physician Assistant
  • Greenville, SC
National Provider Identifier
1013572734
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3313 Issued in SC
Practice address
905 Verdae Blvd Ste 204
Greenville, SC 29607-4098
Phone
(864) 255-5609
Fax
(864) 240-5028
NPI assigned
May 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3313 SC Primary

Addresses

Primary practice location

905 Verdae Blvd Ste 204
Greenville, SC 29607-4098

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

48 Centennial Way
Greenville, SC 29605-4662
Phone (864) 455-1600

Other identifiers 1

IdentifierTypeStateIssuer
3383PAMedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcourter267953@direct.ghs.myhfn.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191126000133 SC Practitioner - Physician Assistant 9830522275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

905 Verdae Blvd
Suite 204
Greenville, SC 29607-4029
Phone (864) 255-5609

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Oct 14, 2019 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 14, 2019 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients

Locations

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

15 Park Creek Dr
Greenville, SC 29605
Phone (864) 271-7761

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

13 Edgewood Dr
Greenville, SC 29605
Phone (864) 271-6060

1025 Verdae Blvd
Ste A
Greenville, SC 29607
Phone (864) 242-4683

48 Centennial Way
Greenville, SC 29605
Phone (864) 455-1600

905 Verdae Blvd
Ste 204
Greenville, SC 29607
Phone (864) 255-5609

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

6 Doctors Dr
Greenville, SC 29605
Phone (864) 232-6221

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

340 Medical Pkwy
#200
Greer, SC 29650
Phone (864) 797-7940

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.

Hospital & facility affiliations 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1013572734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 VERDAE BLVD STE 204",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074098",
            "telephone_number": "864-255-5609",
            "fax_number": "864-240-5028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48 Centennial Way",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054662",
            "country_code": "US",
            "telephone_number": "864-455-1600",
            "fax_number": "864-522-8005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTER",
        "first_name": "MATTHEW",
        "middle_name": "RYAN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-08",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3383PA",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcourter267953@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "mcourter267953@direct.ghs.myhfn.org",
            "address_1": "48 Centennial Way",
            "city": "Greenville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296054662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.