Individual provider Active NPI

Cynthia Marie Petermann, NP-C

  • Gerontology Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1033399134
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
222000 Issued in SC
Practice address
2001 E Greenville St
Anderson, SC 29621-1529
Phone
(864) 332-3098
Fax
(855) 232-3959
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 222000 SC
Gerontology Nurse Practitioner 363LG0600X 222000 SC Primary

Addresses

Primary practice location

2001 E Greenville St
Anderson, SC 29621-1529

Mailing address

2001 E Greenville St
Anderson, SC 29621-1529
Phone (864) 332-3098

Other identifiers 2

IdentifierTypeStateIssuer
NP6173MedicaidSC
SCE737I818OtherSCMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia.petermann.2@29601.direct.athenahealth.com

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
I20190411002947 SC Practitioner - Nurse Practitioner 0648356444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Centerwell Senior Primary Care SC PCGroup PAC ID 2860804796, 44 clinicians

Practice addresses (Care Compare)

2001 E Greenville St
Anderson, SC 29621-1529
Phone (864) 332-3098

Hospital & facility affiliations

  • Anmed Health Hospital, Anderson, SC, CCN 420027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
222000SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (SC) PC CurrentSince Jan 1, 2021 Accepting new patients
Centerwell Senior Primary Care (SC) PC Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

6416 Old Winter Garden Rd
Orlando, FL 32835
Phone (407) 281-1755

108 Highway 28 Byp
Anderson, SC 29624
Phone (864) 296-5208

2001 E Greenville St
Anderson, SC 29621
Phone (864) 332-3098

3516 Highway 153
Greenville, SC 29611
Phone (864) 729-6626

Interoperability endpoints

  • Direct secure messaging: cynthia.petermann@centerwell.eclinicaldirectplus.com
  • Direct secure messaging: cynthia.petermann.1@29601.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1033399134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211529",
            "telephone_number": "864-332-3098",
            "fax_number": "855-232-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211529",
            "telephone_number": "864-332-3098",
            "fax_number": "855-232-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMANN",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "222000",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "222000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP6173",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCE737I818",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia.petermann.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2001 E Greenville St",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296211529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.