NPIMap

Individual provider Active NPI

Marcus Duncan Moreman III, DO

  • Nephrology Physician
  • Greenville, SC
National Provider Identifier
1043703499
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
51981 Issued in SC
Practice address
203 Mills Ave
Greenville, SC 29605-4019
Phone
(864) 271-1844
NPI assigned
Jun 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LL51981 SC
Nephrology Physician 207RN0300X 51981 SC Primary

Addresses

Primary practice location

203 Mills Ave
Greenville, SC 29605-4019

Mailing address

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

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
I20230724002143 SC Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Neurology 4981953163 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Edward Via Col of Osteo Medicine-Carolinas Campus, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Nephrology PAGroup PAC ID 2961467733, 37 clinicians

Practice addresses (Care Compare)

203 Mills Ave
Greenville, SC 29605-4019
Phone (864) 271-1844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
LL51981SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Nephrology PA Nephrology CurrentSince Jun 28, 2023 Accepting new patients
Carolina ASC LLC PastSince May 1, 2024 Accepting new patients

Locations

803 N Fant St
Ste 2A
Anderson, SC 29621
Phone (864) 225-7401

455 E Whitner St
Anderson, SC 29624
Phone (864) 759-0314

400 Plaza Cir
Ste H
Clinton, SC 29325
Phone (864) 833-4166

121 Commerce Blvd
Ste B
Easley, SC 29642
Phone (864) 859-3038

406 Tiffany Park
#B
Gaffney, SC 29341
Phone (864) 663-2736

110 Chalmers Rd
Unit A
Greenville, SC 29605
Phone (864) 977-8200

203 Mills Ave
Greenville, SC 29605
Phone (803) 271-1844

110 Chalmers Rd
Unit B
Greenville, SC 29605

45 Aaron Tippin Dr
Greer, SC 29650
Phone (864) 848-5555

108 W Church St
Greer, SC 29650
Phone (864) 469-7733

110B Hospital Dr
Simpsonville, SC 29681
Phone (864) 382-6940

1410 John B White SR Blvd
Spartanburg, SC 29306
Phone (864) 271-1488

Interoperability endpoints

  • Direct secure messaging: mmoreman229313@direct.ghs.myhfn.org

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 61

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

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1043703499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MILLS AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054019",
            "telephone_number": "864-271-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREMAN",
        "first_name": "MARCUS",
        "middle_name": "DUNCAN",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "LL51981",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "51981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.