Active NPI
John V Dacus, M.D.
- Maternal & Fetal Medicine Physician
- Greenville, SC
National Provider Identifier
1013956713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 6130
- Practice address
- 890 W Faris Rd Ste 470
Greenville, SC 29605-4281 - Phone
- (864) 455-1600
- Fax
- (864) 455-3095
- NPI assigned
- Jun 6, 2006
- Last updated
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | 6130 | SC | Primary |
Addresses
Primary practice location
890 W Faris Rd Ste 470
Greenville, SC 29605-4281
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061300 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6130 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy, LLC | Past | Accepting new patients | |
| Greenville Health System | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba GHS Cardiovascular SVCS Simp
- General Acute Care Hospital
- Simpsonville, SC
- NPI 1679992838
-
dba ATI Physical Therapy of Greenville
- Physical Therapist
- Greenville, SC
- NPI 1669457859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1013956713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INDEPENDENCE PT STE 212",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 W FARIS RD STE 470",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054281",
"telephone_number": "864-455-1600",
"fax_number": "864-455-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACUS",
"first_name": "JOHN",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "SC",
"license": "6130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061300",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.